Organization Active NPI

Ahmed Alshawwaf MD Inc

  • Internal Medicine Physician
  • El Cajon, CA
National Provider Identifier
1013755131
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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 AlshawwafNPI 1619321098
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.