Sally Mahmoud, RN, BSN, PUBLIC HEAL

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

542956RN Issued in CA

Practice address

4065 County Circle Drive
County of Riverside Department of Public Health PHN/Mca
Riverside, CA 92503

Phone

(951) 358-5438

NPI assigned

Jan 7, 2014

Last updated

Jan 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1215359468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 COUNTY CIRCLE DRIVE",
            "address_2": "COUNTY OF RIVERSIDE DEPARTMENT OF PUBLIC HEALTH PHN/MCA",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92503",
            "telephone_number": "951-358-5438",
            "fax_number": "951-358-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 COUNTY CIRCLE DRIVE",
            "address_2": "COUNTY OF RIVERSIDE DEPARTMENT OF PUBLIC HEALTH PHN/MCA",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92503",
            "telephone_number": "951-358-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "SALLY",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, PUBLIC HEAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "542956RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Abdulraheem Mahdi
• Tarek Zaki Mahdi, M.D.
• Maher Roman MD Inc
• Jeffrey Allen Mahle, AOD
• Nathan Mahler, M.D.
• Armound Mahmoudi, DDS
• Kathleen Bernice Mahony, F.N.P
• Mahroo Sabeti Ghorbanian Dental Corp (ZapZzz)
• Hieu Trung Mai, D.M.D.
• Jay L Mai, PA

• Community Health Registered Nurse in Riverside, CA
• Providers in Riverside, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.