Mahmoud A Kreidiie, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A29528 Issued in CA

Practice address

26932 Oso Pkwy
Mission Viejo, CA 92691-5815

Phone

(949) 948-8880

Fax

(949) 348-8881

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mahmoud a. Kreidie

  • Neurology Physician
  • Mission Viejo, CA
  • NPI 1629291554
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1265531396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26932 OSO PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915815",
            "telephone_number": "949-948-8880",
            "fax_number": "949-348-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26932 OSO PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915815",
            "telephone_number": "949-948-8880",
            "fax_number": "949-348-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIDIIE",
        "first_name": "MAHMOUD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "A29528",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A29528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Kouris, D.D.S.
• David Brian Kovacs, MD
• Richard Joseph Kozak, M.D.
• Heather Marie Kranitz-Lehman, DO
• Taryn Marie Krawczyk
• Gina Krikorian
• Madhavan Krishnan, MD
• Shandrey Krone, AMFT
• Roxanne A Krueger, CRNFA
• Tiffany Bridgette Kuester

• Neurology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.