Moulton Family Medical, Inc.
NPI 1538190954 · Family Medicine Physician · Lake Forest, CA
Moulton Family Medical, Inc. is a Family Medicine Physician organization in Lake Forest, CA (NPI 1538190954).
Provider details
- NPI number
- 1538190954
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nelly Boutros, Owner(949) 951-9399
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2020-08-22
Frequently asked questions
- What is Moulton Family Medical, Inc.'s NPI number?
- Moulton Family Medical, Inc.'s National Provider Identifier (NPI) is 1538190954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moulton Family Medical, Inc.?
- Moulton Family Medical, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Moulton Family Medical, Inc. located?
- Moulton Family Medical, Inc.'s practice location on file with NPPES is 22611 Lake Forest Dr. #c-4, Lake Forest, CA 92630.
- What is Moulton Family Medical, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Moulton Family Medical, Inc. is (949) 951-9399.
- Who is the authorized official for Moulton Family Medical, Inc.?
- The authorized official listed on Moulton Family Medical, Inc.'s NPPES record is Nelly Boutros, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moulton Family Medical, Inc.'s NPI active?
- Yes — Moulton Family Medical, Inc.'s NPI (1538190954) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.