Mahmoud a. Kreidie

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A29528 Issued in CA

Legal business name

MAHMOUD A. KREIDIE

Doing business as

Neurology Medical Center

Practice address

26932 Oso Pkwy
Suite 240
Mission Viejo, CA 92691-5815

Phone

(949) 348-8880

NPI assigned

Apr 10, 2007

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Kreidie, M.D.

Title

Owner

Phone

(949) 348-8880

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Neurology Medical Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ali Elahi, MD

  • Neurology Physician
  • Corona del Mar, CA
  • NPI 1619983533
  NPD (past)
• Mahmoud A Kreidiie, M.D.

  • Neurology Physician
  • Mission Viejo, CA
  • NPI 1265531396
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1629291554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26932 OSO PKWY",
            "address_2": "SUITE 240",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915815",
            "telephone_number": "949-348-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26932 OSO PKWY",
            "address_2": "SUITE 240",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915815",
            "telephone_number": "949-348-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHMOUD A. KREIDIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "KREIDIE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-348-8880",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A29528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A295280",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ62117Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurology Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ralph H. Maeda Jr., M.D.
• Kyle Maerean
• Amanda Suzan Maffris, PT, DPT
• Michael Maga, MPT
• Kathy J Maghbouleh
• Jennifer Maholchic, PA-C
• Christina Nichole Mahoney, CD(DONA)
• Deema Majaj, DPT
• Elie Makhoul, D.D.S.
• Rasoul Malekjah, PH.D./CLINICAL PSYCH

• 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 Jun 20, 2008; 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.