Active NPI
Kamran Mahmood, ACSW
- Clinical Social Worker
- Anaheim, CA
National Provider Identifier
1023137148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2054 S Spinnaker St Apt 1
Anaheim, CA 92802-4430 - Phone
- (909) 896-0502
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CA | Primary |
Addresses
Primary practice location
2054 S Spinnaker St Apt 1
Anaheim, CA 92802-4430
Mailing address
2054 S Spinnaker St Apt 1
Anaheim, CA 92802-4430
Phone (626) 910-1202
Other practice location 1
23701 E East Fork Rd
Azusa, CA 91702-1477
Phone (626) 910-1202 ext. 111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1023137148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2054 S SPINNAKER ST APT 1",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928024430",
"telephone_number": "626-910-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2054 S SPINNAKER ST APT 1",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928024430",
"telephone_number": "909-896-0502"
}
],
"practiceLocations": [
{
"address_1": "23701 E East Fork Rd",
"address_purpose": "LOCATION",
"city": "Azusa",
"state": "CA",
"postal_code": "917021477",
"country_code": "US",
"telephone_number": "626-910-1202 x111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHMOOD",
"first_name": "KAMRAN",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.