Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ahmad Mahmoud Qudaiesat, FNP

Individual provider Family Nurse Practitioner · NPI 1801350822

Ahmad Mahmoud Qudaiesat, FNP is a Nurse Practitioner in Inglewood, California. Qualified in 2018, 8 years ago. Practices with Sun Medical Group Inc, an 18-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

555 E Hardy St
Inglewood, CA 90301-4011
Phone: (310) 680-8536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95010937 (CA)

Record details

NPI number1801350822
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 23, 2019
Last updated in NPPESJanuary 23, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sun Medical Group Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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