Active NPI
Matt Ahmadi, DPM, Inc.
- Foot & Ankle Surgery Podiatrist
- Mission Viejo, CA
National Provider Identifier
1013116219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4539
- Legal business name
- MATT AHMADI, DPM, INC.
- Practice address
- 26800 Crown Valley Pkwy
Suite 320
Mission Viejo, CA 92691-6384 - Phone
- (949) 276-8900
- Fax
- (949) 276-8901
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matt Ahmadi, DPM
- Title
- President
- Phone
- (949) 276-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4539 | CA | Primary |
Addresses
Primary practice location
26800 Crown Valley Pkwy
Suite 320
Mission Viejo, CA 92691-6384
Mailing address
26800 Crown Valley Pkwy
Suite 320
Mission Viejo, CA 92691-6384
Phone (949) 276-8900
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252627200000",
"number": "1013116219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26800 CROWN VALLEY PKWY",
"address_2": "SUITE 320",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916384",
"telephone_number": "949-276-8900",
"fax_number": "949-276-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26800 CROWN VALLEY PKWY",
"address_2": "SUITE 320",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916384",
"telephone_number": "949-276-8900",
"fax_number": "949-276-8901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATT AHMADI, DPM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2009-09-11",
"status": "A",
"authorized_official_last_name": "AHMADI",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-276-8900",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.