Moheb S Youssef M D Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A42256 Issued in CA

Legal business name

MOHEB S YOUSSEF M D INC

Practice address

5730 Glen Oaks Dr
La Verne, CA 91750-1713

Phone

(626) 201-4853

Fax

(909) 392-1396

NPI assigned

Jul 14, 2006

Last updated

Feb 22, 2023By 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

Dr. Moheb S Youssef, M.D.NPI 1215900956

Title

President

Phone

(800) 883-7243

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Moheb S Youssef, M D

  • Pain Medicine (Anesthesiology) Physician
  • La Verne, CA
  • NPI 1215900956
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1982620647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 GLEN OAKS DR",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917501713",
            "telephone_number": "626-201-4853",
            "fax_number": "909-392-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 GLEN OAKS DR",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917501713",
            "telephone_number": "626-201-4853",
            "fax_number": "909-392-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHEB S YOUSSEF M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-02-22",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "MOHEB",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-883-7243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A42256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A422560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antionette Palacio Mirenda
• Kameko Mitchell, B.A.
• MKM Logistics
• Jessica Cynthia Mogi, OTR/L
• Moheb S Youssef M D Inc
• Moheb Youssef,M.D.,Inc
• Shabnam Mahmood Moledina, N.P.
• Annette Monge-Hermosillo
• Kysara Montoya
• Javon Allen Moore

• Anesthesiology Physician in La Verne, CA
• Providers in La Verne, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.