Active NPI
Mohammed Youssef
- Pharmacist
- Concord, CA
National Provider Identifier
1912538422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80646
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F8057635 | Other | CA | DRIVER'S LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 80646 | CA | MD | Pharmacist |
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.