Organization Active NPI

Mohsin Mahmood DDS Inc

  • Dentist
  • Laguna Woods, CA
National Provider Identifier
1669978110
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52424 Issued in CA
Legal business name
MOHSIN MAHMOOD DDS INC
Practice address
24902 Moulton Pkwy Ste 200
Laguna Woods, CA 92637-6403
Phone
(949) 619-4162
Fax
(949) 619-4162
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Dr. Mohsin Raza Mahmood, DDSNPI 1699978999
Title
Dentist
Phone
(714) 588-6004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 52424 CA Primary

Addresses

Primary practice location

24902 Moulton Pkwy Ste 200
Laguna Woods, CA 92637-6403

Mailing address

24902 Moulton Pkwy Ste 200
Laguna Woods, CA 92637-6403
Phone (949) 619-4162

Other practice location 1

1736 E 14th St
San Leandro, CA 94577-4803
Phone (510) 969-4088

Other identifiers 2

IdentifierTypeStateIssuer
1669978110OtherCANPI NUMBER UPDATE
1699978999OtherCANPI NUMBER UPDATE

Other names 1

  • Laguna Woods Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

913 E Valley Pkwy
Escondido, CA 92025
Phone (760) 233-2333

24902 Moulton Pkwy
Ste 100
Laguna Woods, CA 92637
Phone (949) 716-1800

24902 Moulton Pkwy
Ste 200
Laguna Woods, CA 92637
Phone (949) 305-5165

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1669978110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24902 MOULTON PKWY STE 200",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926376403",
            "telephone_number": "949-619-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24902 MOULTON PKWY STE 200",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926376403",
            "telephone_number": "949-619-4162",
            "fax_number": "949-619-4162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1736 E 14th St",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774803",
            "country_code": "US",
            "telephone_number": "510-969-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOHSIN MAHMOOD DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "MOHSIN",
        "authorized_official_middle_name": "RAZA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-588-6004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER UPDATE",
            "identifier": "1669978110",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER UPDATE",
            "identifier": "1699978999",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laguna Woods Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Woods, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.