Active NPI
Mostafa A Hamdy, MD
- Gastroenterology Physician
- Brawley, CA
National Provider Identifier
1780670836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A43951
- Practice address
- 605 W H St
110
Brawley, CA 92227-4200 - Phone
- (760) 344-7976
- Fax
- (760) 344-7106
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A43951 | CA | Primary |
Addresses
Primary practice location
605 W H St
110
Brawley, CA 92227-4200
Mailing address
1600 S Imperial Ave
Number 8
El Centro, CA 92243-4242
Phone (760) 353-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A439510 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050519000387 | CA | Practitioner - Gastroenterology | 5092756023 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A43951 | CA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1780670836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S IMPERIAL AVE",
"address_2": "NUMBER 8",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434242",
"telephone_number": "760-353-5000",
"fax_number": "760-370-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 W H ST",
"address_2": "110",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922274200",
"telephone_number": "760-344-7976",
"fax_number": "760-344-7106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMDY",
"first_name": "MOSTAFA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A43951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A439510",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brawley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.