Dr. Monif Moussa Matouk, DPM

Individual provider Primary Podiatric Medicine Podiatrist · NPI 1689627879

Dr. Monif Moussa Matouk, DPM is a Podiatry in Los Banos, California. Graduated from William M. Scholl College of Podiatric Medicine in 2001, 25 years ago. Practices with Kd Medical Group Inc, a 6-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying: 25
Trained at: William M. Scholl College of Podiatric Medicine
Licensed in: CA, IL
In the registry since: 2006
Specialties on file: 3

What do these letters mean?

DPM — Doctor of Podiatric Medicine: A foot and ankle physician and surgeon.

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Practice location Address checks out

400 W I St Ste C
Los Banos, CA 93635-3459
Phone: (209) 827-2766

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

1549 Golden Gate Ave, Dos Palos, CA 93620-2329 — (209) 392-0022
311 W I St, Los Banos, CA 93635-3479 — (209) 826-6444
311 W I St, Los Banos, CA 93635 — (209) 826-2222
311 W I St, Los Banos, CA 93635-3479 — (209) 826-2222
400 W I St Ste A, Los Banos, CA 93635-3459 — (209) 827-9999
1340 S Damen Ave, Chicago, IL 60608-1169 — (773) 292-4800

Specialties & licences

Podiatrist (primary)	Taxonomy 213E00000X · Licence 5321 (CA)
Primary Podiatric Medicine Podiatrist	Taxonomy 213EP1101X · Licence 016005096 (IL)
Foot & Ankle Surgery Podiatrist	Taxonomy 213ES0103X · Licence 5321 (CA)

Record details

NPI number	1689627879
Entity type	Individual (Type 1)
Gender	Male
Credentials	DPM
Sole proprietor	No
NPI enumerated	May 18, 2006
Last updated in NPPES	May 9, 2024
Certification date	May 9, 2024
Mailing address	311 W I St, Los Banos, CA 93635-3479

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PODIATRY
Medical school	WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated	2001 (25 years in practice)
Group practice	Kd Medical Group Inc — 6 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	2 on file with Medicare