MAHFOUZ M. MICHAEL,M.D.,INC. (NPI# 1609095660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609095660 |
| Entity Type | Organization |
| Organization Name | MAHFOUZ M. MICHAEL,M.D.,INC. |
| Other Organization Name | CLINICA MEDICA SAN MIGUEL |
| Practice Address |
825 N Park Ave Pomona CA 91768-3002 |
| Mailing Address |
Po Box 1680 Pomona CA 91769-1680 |
| Practice Telephone | 9096229988 |
| Practice Fax Number | 9096220882 |
| Mailing Telephone | 8189940804 |
| Mailing Fax Number | 8189941288 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-09-11 |
| Authorized Official Name | MAHFOUZ M. MICHAEL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8182666432 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAID UPIN | 7032113 | 01 |
| CA | GR0016851 | 05 |
| Other Name | Type Code |
|---|---|
| Clinica Medica San Miguel | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659591832 | Mahfouz M. Michael,m.d.,inc. | Obstetrics & Gynecology | 954 N Vermont Ave, Los Angeles, CA 90029-3529 | 2007-04-27 |
| 1558581736 | Mahfouz M. Michael,m.d.,inc. | Family Medicine | 931 Buena Vista St Ste 102, Duarte, CA 91010-1780 | 2007-04-27 |
| 1134348261 | Mahfouz M. Michael,m.d.,inc. | Pediatrics | 7128 Pacific Blvd, Suite A, Huntington Park, CA 90255-4776 | 2007-04-25 |
| 1609095587 | Mahfouz M. Michael,m.d.,inc. | Family Medicine | 1500 Glenoaks Blvd, San Fernando, CA 91340-1780 | 2007-04-25 |
| 1104045210 | Mahfouz M. Michael,m.d.,inc. | Internal Medicine | 1437 S Atlantic Blvd, Los Angeles, CA 90022-5015 | 2007-04-25 |
| 1104045061 | Mahfouz M. Michael,m.d.,inc. | Family Medicine | 7119 Rita Ave, Suite C, E, F, Huntington Park, CA 90255-4781 | 2007-04-25 |
| 1093934986 | Mahfouz M. Michael,m.d.,inc. | Family Medicine | 122 E Washington Blvd, Los Angeles, CA 90015-3601 | 2007-04-25 |
| 1881627057 | Mahfouz M. Michael,m.d.,inc. | Nurse Practitioner | 8781 Van Nuys Blvd, Panorama City, CA 91402-2406 | 2006-07-09 |
| Street Address |
825 N PARK AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91768-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629130661 | Aruna Udau Shah | General Practice | 825 N Park Ave, Pomona, CA 91768 | 2006-12-15 |
| 1942548342 | San Miguel Community Clinic | General Practice | 825 N Park Ave, Pomona, CA 91768-3002 | 2013-01-21 |
| 1811052418 | Ruth Jamoralin Mendez | Nurse Practitioner | 825 N Park Ave, Pomona, CA 91768-3002 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385971 | Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 | 2020-08-03 |
| 1427690338 | Sharon Beatrice Moreno | Counselor | 2180 Valley Bvld, Pomona, CA 91768 | 2019-10-11 |
| 1710492087 | Freddie Lee Dominguez | Counselor | 2180 W Vally Blvd, Pomona, CA 91768 | 2017-12-08 |
| 1205350295 | Angie Lorraine Gallego-arellano | Case Manager/Care Coordinator | 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 | 2017-08-01 |
| 1154851913 | Maria Concepcion Galvez | Counselor | 2180 W Valley Blvd, Pomona, CA 91768 | 2017-06-14 |
| 1689107500 | Margie Moreno Interpriting Services | Case Management | 675 North Park Avenue, Pomona, CA 91768 | 2017-04-07 |
| 1386006864 | Evelyn Benitez | Marriage & Family Therapist | 1023 Groff St, Pomona, CA 91768 | 2016-03-24 |
| 1962891291 | Consuelo Rivera Aguilar | Speech-Language Pathologist | 651 North Main Street, Pomona, CA 91768 | 2015-01-09 |
| 1134557648 | Rodolfo Perez Jr. | Nurse Practitioner | 1196 North Park Ave, Pomona, CA 91768 | 2013-10-18 |
| 1588008361 | Medi-cure Health Services | Counselor | 1921 West Arroyo Street, Pomona, CA 91768 | 2013-04-23 |
| Find all providers in zip 91768 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436827 | Vladimir Zev Zelenko Md PC. | Family Medicine | 1540 Route 202 Ste 7, Pomona, NY 10970-2922 | 2020-01-20 |
| 1720514185 | Irene Riley Sung | Family Medicine | 1770 N Orange Grove Ave Ste 201, Pomona, CA 91767-3027 | 2017-05-04 |
| 1205210531 | Emelia Oduro Jeffrey | Family Medicine | 1532 San Bernardino Ave Ste A2, Pomona, CA 91767-3559 | 2015-07-16 |
| 1689057960 | David Picella Phd Inc | Family Medicine | 1617 N Garey Ave, Pomona, CA 91767 | 2015-07-03 |
| 1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
| 1699119511 | Danica Kari Lomeli | Family Medicine | 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 | 2013-04-22 |
| 1073814760 | Felix Lin | Family Medicine | 8 Village Loop Rd Ste D, Pmb 117, Pomona, CA 91766-4870 | 2010-11-11 |
| 1205017035 | Tuan Dai Le, M.d, A Professional Corporation | Family Medicine | 1151 E Holt Ave, Suite Q, Pomona, CA 91767-5813 | 2007-11-20 |
| 1023297934 | Katty Chou | Family Medicine | 3801 W Temple Ave Bldg 46, Pomona, CA 91768-2557 | 2007-10-26 |
| 1013114420 | Wilbert Timothy Tsai | Family Medicine | 1900 Royalty Dr Ste 250, Pomona, CA 91767-3043 | 2007-06-29 |
| Find all providers in POMONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.