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MOUTAZ ALMAWALDI,M.D. A PROFESSIONAL CORPORATION
NPI 1164600896
Internal Medicine - Nephrology in Lakeport, CA

Active since February 05, 2008
5120 HILL RD E, LAKEPORT, CA 95453(707) 263-4766(707) 263-4771 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Jun 30, 2017 (2 updates tracked since 2017).

About Moutaz Almawaldi,m.d. A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUTAZ ALMAWALDI,M.D. A PROFESSIONAL CORPORATION (NPI 1164600896) is a healthcare organization registered as a nephrology in Lakeport, California and active in the NPI registry since February 2008. The organization lists Mohamad Moutaz Almawaldi, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1164600896
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMOUTAZ ALMAWALDI MD PC
Location Address5120 HILL RD ELakeport, CA 95453-6300
Mailing Address5120 Hill Rd E, Po Box 1917Lakeport, CA 95453-6300 · (707) 263-4766 · Fax (707) 263-4771
Phone(707) 263-4766
Fax(707) 263-4771
Organization SubpartNo
Authorized OfficialMohamad Moutaz AlmawaldiCeo/owner · (707) 263-4766
Enumeration DateFebruary 5, 2008
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1164600896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A49796
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
5120 HILL RD E, Lakeport, CA 95453
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Other Names 1

Other NameMoutaz Almawaldi,m.d. A Professional Corporation

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MENDOCINO OPTICAL CO INC
Eyewear Supplier
5120 HILL RD E
LAKEPORT, CA 95453
Lake County (707) 263-3433
MOHAMAD MOUTAZ ALMAWALDI MD
Internal Medicine (Nephrology)
5120 HILL RD E
LAKEPORT, CA 95453
Lake County (707) 263-4766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moutaz Almawaldi MD PC's NPI number?

The NPI number for Moutaz Almawaldi MD PC is 1164600896. It was assigned to this organization in the NPPES registry on February 5, 2008. The provider is also known as Moutaz Almawaldi,m.D. A Professional Corporation.

Where is Moutaz Almawaldi MD PC located?

Moutaz Almawaldi MD PC is located at 5120 Hill Rd E, Lakeport, CA 95453. The listed phone number is (707) 263-4766.

What is Moutaz Almawaldi MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Moutaz Almawaldi MD PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.