NPIMap

Individual provider Active NPI

Mostafa Hammoudi, M.D.

  • Neurology Physician
  • Oxnard, CA
National Provider Identifier
1912027426
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C149844 Issued in CA
Practice address
3641 W 5TH St
Oxnard, CA 93030-6424
Phone
(805) 985-5505
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X C149844 CA Primary

Addresses

Primary practice location

3641 W 5TH St
Oxnard, CA 93030-6424

Mailing address

5855 Olivas Park Dr
Ventura, CA 93003-7672
Phone (805) 667-2801

Other practice location 1

1221 Pleasant St
Ste 300
Des Moines, IA 50309-1423
Phone (515) 241-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170712003831 CA Practitioner - Neurology 2961552914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

3641 W 5TH St
Oxnard, CA 93030-6424
Phone (805) 985-5505

Hospital & facility affiliations

  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • Community Memorial Hospital - Ojai Hospital, Ojai, CA, CCN 051334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C149844CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Jul 1, 2017 Accepting new patients
Community Memorial Health System CurrentSince Jul 1, 2017 Accepting new patients
Community Memorial Health System Current Accepting new patients
Pella Regional Health Center Past Accepting new patients
Community Memorial Hospital District Past Accepting new patients
Boone County Hospital Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

5800 Santa Rosa Rd
Ste 149
Camarillo, CA 93012
Phone (805) 465-8900

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

117 Pirie Rd
Ste E
Ojai, CA 93023
Phone (805) 640-2323

3641 W 5th St
Oxnard, CA 93030
Phone (805) 985-5505

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mostafahammoudi@cfh.allscriptsdirect.net
  • Direct secure messaging: mhammoudi3518400@oc.providencedirect.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1912027426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 OLIVAS PARK DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037672",
            "telephone_number": "805-667-2801",
            "fax_number": "805-667-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 W 5TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306424",
            "telephone_number": "805-985-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Pleasant St",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503091423",
            "country_code": "US",
            "telephone_number": "515-241-4200",
            "fax_number": "515-241-4081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOUDI",
        "first_name": "MOSTAFA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C149844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.