Active NPI
Moossa Heikali, M.D.
- Neurology Physician
- Encino, CA
National Provider Identifier
1962448431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A40559
- Practice address
- 18065 Ventura Blvd
Encino, CA 91316-3517 - Phone
- (818) 708-6163
- Fax
- (818) 344-1390
- NPI assigned
- Jun 21, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A40559 | CA | Primary |
Addresses
Primary practice location
18065 Ventura Blvd
Encino, CA 91316-3517
Mailing address
P.O. Box 49911
Los Angeles, CA 90049-4911
Phone (818) 708-6163
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A40559 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Imaging Healthcare, Inc. | Past | Accepting new patients | |
| F&M Radiology Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Radiology Clinic/Center
- Encino, CA
- NPI 1720625742
-
dba United Medical Imaging of Brea
- Radiology Clinic/Center
- Brea, CA
- NPI 1326138686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1962448431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 49911",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900494911",
"telephone_number": "818-708-6163",
"fax_number": "818-708-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18065 VENTURA BLVD",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163517",
"telephone_number": "818-708-6163",
"fax_number": "818-344-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIKALI",
"first_name": "MOOSSA",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A40559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.