Individual provider Active NPI

Khaja R. Ahmed, M.D.

  • Nephrology Physician
  • Torrance, CA
National Provider Identifier
1033137633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A45423 Issued in CA
Practice address
20911 Earl St
Suite 180
Torrance, CA 90503-4352
Phone
(310) 370-4660
Fax
(310) 793-0710
NPI assigned
Jul 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A45423 CA Primary

Addresses

Primary practice location

20911 Earl St
Suite 180
Torrance, CA 90503-4352

Mailing address

20911 Earl St
Suite 180
Torrance, CA 90503-4352
Phone (310) 370-4660

Other identifiers 1

IdentifierTypeStateIssuer
00A454231MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000475 CA Practitioner - NephrologyPractitioner - Internal Medicine 6800885443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20911 Earl St
Suite 380
Torrance, CA 90503-4355
Phone (424) 390-4035

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A45423CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khaja R Ahmed M.D. a Professional Corporation Nephrology CurrentSince Jan 1, 2011 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

20911 Earl St
Ste 180
Torrance, CA 90503
Phone (310) 370-4660

20911 Earl St
Ste 380
Torrance, CA 90503
Phone (310) 792-5670

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033137633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20911 EARL ST",
            "address_2": "SUITE 180",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034352",
            "telephone_number": "310-370-4660",
            "fax_number": "310-793-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST",
            "address_2": "SUITE 180",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034352",
            "telephone_number": "310-370-4660",
            "fax_number": "310-793-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "KHAJA",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A45423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A454231",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.