Organization Active NPI

Reda M. Gamal, M.D., Inc.

  • Neurology Physician
  • Santa Ana, CA
National Provider Identifier
1093868515
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A47890 Issued in CA
Legal business name
REDA M. GAMAL, M.D., INC.
Practice address
1125 E. 17TH St Suite W238
Santa Ana, CA 92701
Phone
(714) 245-0353
Fax
(714) 569-0492
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Reda Gamal, MD
Title
Owner
Phone
(714) 245-0353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A47890 CA Primary

Addresses

Primary practice location

1125 E. 17TH St Suite W238
Santa Ana, CA 92701

Mailing address

1125 E. 17TH St Suite W238
Santa Ana, CA 92701
Phone (714) 245-0353

National Provider Directory

National Provider Directory

Locations

1125 E 17th St
Ste W238
Santa Ana, CA 92701
Phone (714) 245-0353

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1093868515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E. 17TH ST SUITE W238",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "714-245-0353",
            "fax_number": "714-569-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E. 17TH ST SUITE W238",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "714-245-0353",
            "fax_number": "714-569-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDA M. GAMAL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "GAMAL",
        "authorized_official_first_name": "REDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-245-0353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A47890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.