Individual provider Active NPI

Mohammed Youssef

  • Pharmacist
  • Concord, CA
National Provider Identifier
1912538422
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
80646 Issued in CA
Practice address
1495 Balhan Dr Apt 208
Concord, CA 94521-3772
Phone
(415) 937-4909
NPI assigned
Feb 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 80646 CA Primary

Addresses

Primary practice location

1495 Balhan Dr Apt 208
Concord, CA 94521-3772

Mailing address

1495 Balhan Dr Apt 208
Concord, CA 94521-3772

Other identifiers 1

IdentifierTypeStateIssuer
F8057635OtherCADRIVER'S LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL wqfwr@wqf.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
80646CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1912538422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 BALHAN DR APT 208",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 BALHAN DR APT 208",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213772",
            "telephone_number": "415-937-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "MOHAMMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "F8057635",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wqfwr@wqf.com",
            "affiliation": "N",
            "endpointDescription": "Home Address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "home",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Home address",
            "address_1": "1495 Balhan Dr Apt 208",
            "city": "Concord",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945213772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.