Organization Active NPI

Moufid Nemeh M.D.

  • Specialist
  • Northridge, CA
National Provider Identifier
1811046006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A43231 Issued in CA
Legal business name
MOUFID NEMEH M.D.
Practice address
18250 Roscoe Blvd
#235
Northridge, CA 91325-4226
Phone
(818) 885-0063
Fax
(818) 885-0193
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Moufid Nemeh, M.D.
Title
M.D.
Phone
(818) 885-0063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X A43231 CA Primary

Addresses

Primary practice location

18250 Roscoe Blvd
#235
Northridge, CA 91325-4226

Mailing address

18250 Roscoe Blvd
#235
Northridge, CA 91325-4226
Phone (818) 885-0063

Other identifiers 1

IdentifierTypeStateIssuer
00A432311MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811046006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD",
            "address_2": "#235",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254226",
            "telephone_number": "818-885-0063",
            "fax_number": "818-885-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD",
            "address_2": "#235",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254226",
            "telephone_number": "818-885-0063",
            "fax_number": "818-885-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUFID NEMEH M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEMEH",
        "authorized_official_first_name": "MOUFID",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "818-885-0063",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A43231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A432311",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.