HOSAM MOUSTAFA MD NPI 1760418149

NPI Information

  • NPI: 1760418149
  • Provider Name: HOSAM MOUSTAFA, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 301 W BASTANCHURY RD STE 130
    FULLERTON, CA
    ZIP 92835
  • Phone: (714) 278-9363

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NPI Details

Hosam Moustafa, MD is a diagnostic radiology radiology in Fullerton, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Hosam Moustafa, MD NPI is 1760418149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 W BASTANCHURY RD STE 130
FULLERTON, CA
ZIP 92835-423
Phone: (714) 278-9363
Fax: (714) 278-9364

The NPI 1760418149 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 7/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyA71010CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WA71010KMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2G98200MEDICARE UPINCALIFORNIA
3TP016MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
400A710100OTHERCALIFORNIABLUE SHIELD
500A710100MEDICAIDCALIFORNIA
6TP016AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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