MOULTON FAMILY MEDICAL, INC.
NPI 1538190954
Family Medicine in Lake Forest, CA

NPI Status: Active since July 05, 2006

Contact Information

22611 LAKE FOREST DR. #C-4
LAKE FOREST, CA
ZIP 92630
Phone: (949) 951-9399
Fax: (949) 951-9403

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NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 12, 2026.

  • Organization
  • Family Medicine

About MOULTON FAMILY MEDICAL, INC.

This page provides the complete NPI Profile along with additional information for Moulton Family Medical, Inc., a primary care provider established in Lake Forest, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1538190954 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Moulton Family Medical, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Nelly Boutros (Owner)

NPI
1538190954
Provider Name
MOULTON FAMILY MEDICAL, INC.
Entity Type
Organization
Location Address
22611 LAKE FOREST DR. #C-4 LAKE FOREST, CA 92630
Location Phone
(949) 951-9399
Location Fax
(949) 951-9403
Mailing Address
PO BOX 8095 FOUNTAIN VALLEY, CA 92728
Mailing Phone
(949) 951-9399
Mailing Fax
(949) 951-9399
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-05-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Moulton Family Medical, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NELLY BOUTROS

Authorized Official Title
OWNER
Authorized Official Phone
(949) 951-9399

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538190954, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 2 + 9 + 0 + 9 + 1 + 0 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1538190954.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538190954, enumerated as an "organization" on July 05, 2006.

The provider is located at 22611 LAKE FOREST DR. #C-4 LAKE FOREST, CA 92630 and the phone number is (949) 951-9399.

Family Medicine with taxonomy code 207Q00000X.