Individual provider Active NPI

Ghadir M Kinawy, MD

  • General Practice Physician
  • Santa Ana, CA
National Provider Identifier
1497864573
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A64905 Issued in CA
Practice address
1125 E 17TH Street
Suite W112
Santa Ana, CA 92701-2213
Phone
(714) 547-9090
Fax
(714) 547-5005
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A64905 CA Primary

Addresses

Primary practice location

1125 E 17TH Street
Suite W112
Santa Ana, CA 92701-2213

Mailing address

125 South Orange Hill Lane
Anaheim Hills, CA 92807-3713
Phone (714) 547-9090

Other identifiers 1

IdentifierTypeStateIssuer
00A649050MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497864573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SOUTH ORANGE HILL LANE",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928073713",
            "telephone_number": "714-547-9090",
            "fax_number": "714-547-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH STREET",
            "address_2": "SUITE W112",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012213",
            "telephone_number": "714-547-9090",
            "fax_number": "714-547-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINAWY",
        "first_name": "GHADIR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A64905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A649050",
            "state": "CA"
        }
    ],
    "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 Jul 8, 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.