What is Riad Mardoum's NPI number?

Riad Mardoum's National Provider Identifier (NPI) is 1417050584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Riad Mardoum's specialty?

Riad Mardoum is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).

Where is Riad Mardoum located?

Riad Mardoum's practice location on file with NPPES is 4077 5th Ave, San Diego, CA 92103-2105.

What is Riad Mardoum's phone number?

The practice phone number listed in the NPPES registry for Riad Mardoum is (619) 260-7046.

Is Riad Mardoum's NPI active?

Yes — Riad Mardoum's NPI (1417050584) is active in the NPPES registry as of the last update on 2022-07-21.

IndividualActive

Riad Mardoum, M.D.

NPI 1417050584 · Pediatrics Physician · San Diego, CA

Riad Mardoum, M.D. is a Pediatrics Physician provider in San Diego, CA (NPI 1417050584).

Provider details

NPI number: 1417050584
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: A36720 (CA)

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000XLicense A36720 (CA)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4077 5th Ave

San Diego, CA 92103-2105

Phone: (619) 260-7046

Fax: (619) 686-3843

Street-level locationGet directions

More CA providers

Mailing address