Active NPI
Ahmed Alshawwaf MD Inc
- Internal Medicine Physician
- El Cajon, CA
National Provider Identifier
1013755131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- AHMED ALSHAWWAF MD INC
- Practice address
- 330 S Magnolia Ave Ste 101
El Cajon, CA 92020-5221 - Phone
- (619) 383-4153
- NPI assigned
- Jul 15, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Ahmed Alshawwaf
- Title
- Owner
- Phone
- (619) 383-4153
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- El Cajon, CA
- NPI 1619321098
CA, Internal Medicine
-
- Obstetrics & Gynecology Physician
- El Cajon, CA
- NPI 1679008569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241003002506 | CA | Part B Supplier - Clinic/Group Practice | 4486185261 |
Receives reassigned benefits from 1 practitioner Practice locations: El Cajon, CA |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
330 S Magnolia Ave Ste 101
El Cajon, CA 92020-5221
Mailing address
15349 Crestview CT
Poway, CA 92064-2238
Phone (619) 593-3007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2024.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721174400000",
"number": "1013755131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15349 CRESTVIEW CT",
"city": "POWAY",
"state": "CA",
"postal_code": "920642238",
"telephone_number": "619-593-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S MAGNOLIA AVE STE 101",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920205221",
"telephone_number": "619-383-4153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHMED ALSHAWWAF MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A",
"authorized_official_last_name": "ALSHAWWAF",
"authorized_official_first_name": "AHMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-383-4153",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.