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

Mahmoud Qasem Moammar, MD

Individual provider Pulmonary Disease Physician · NPI 1952500696

Mahmoud Qasem Moammar, MD is a Critical Care (Intensivists) in Orange, California. Qualified in 2001, 25 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Kentucky and Virginia.

Years since qualifying
25
Licensed in
CA, KY, VA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

845 W La Veta Ave Ste 108
Orange, CA 92868-3930
Phone: (714) 289-6552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1 Medical Village Dr, Edgewood, KY 41017-3403 — (859) 757-2927
  • 1213 E Clay St, Richmond, VA 23298-5071 — (804) 828-9071
  • 618 Hospital Rd, Tappahannock, VA 22560-5000 — (804) 828-4635

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence C170981 (CA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 42606 (KY)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 0101274234 (VA)

Record details

NPI number1952500696
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2007
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesPULMONARY DISEASE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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