Maurice Shafik Ghattas MD a Professional Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A35441 Issued in CA

Legal business name

MAURICE SHAFIK GHATTAS MD A PROFESSIONAL CORP

Practice address

11180 Warner Ave
Suite#259
Fountain Valley, CA 92708-7501

Phone

(714) 546-0099

Fax

(714) 546-0009

NPI assigned

Apr 8, 2009

Last updated

Apr 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maurice Shafik Ghattas, M.D.

Title

President

Phone

(714) 546-0099

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1922241736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE",
            "address_2": "SUITE # 259",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087501",
            "telephone_number": "714-546-0099",
            "fax_number": "714-546-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE",
            "address_2": "SUITE#259",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087501",
            "telephone_number": "714-546-0099",
            "fax_number": "714-546-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE SHAFIK GHATTAS MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "GHATTAS",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "SHAFIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-546-0099",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A35441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.