Moussa Faminini MD Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A031134 Issued in CA

Legal business name

MOUSSA FAMININI MD INC

Practice address

16661 Ventura Blvd Ste 818
Encino, CA 91436-1999

Phone

(818) 501-3320

Fax

(818) 501-3414

NPI assigned

Sep 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Moussa Faminini, M.D.NPI 1629084843

Title

Owner

Phone

(818) 501-3414

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moussa Faminini, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Encino, CA
  • NPI 1629084843
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1952610941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 818",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361999",
            "telephone_number": "818-501-3320",
            "fax_number": "818-501-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 818",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361999",
            "telephone_number": "818-501-3320",
            "fax_number": "818-501-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUSSA FAMININI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-25",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "FAMININI",
        "authorized_official_first_name": "MOUSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-501-3414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A031134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0726162",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A3111340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Encino, CA
• Providers in Encino, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.