Individual provider Active NPI

Nayeema Ahmed, M.D.

  • Obstetrics Physician
  • Riverside, CA
National Provider Identifier
1063410280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A87847 Issued in CA
Practice address
3975 Jackson St
Ste. #110
Riverside, CA 92503-3901
Phone
(951) 351-1071
Fax
(951) 351-1207
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
No

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
Obstetrics Physician 207VX0000X A87847 CA Primary

Addresses

Primary practice location

3975 Jackson St
Ste. #110
Riverside, CA 92503-3901

Mailing address

3975 Jackson St
Ste. #110
Riverside, CA 92503-3901
Phone (951) 351-1071

Other identifiers 1

IdentifierTypeStateIssuer
00A878470MedicaidCA

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
I20040923000646 CA Practitioner - Obstetrics/Gynecology 6103894449 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87847CAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Medical Group Inc. Current Accepting new patients
George Ahad, MD, Inc CurrentSince Nov 1, 2020 Accepting new patients
Seven Star Medical Group Inc. CurrentSince Apr 1, 2021 Accepting new patients
Seven Star Medical Group Inc. CurrentSince Apr 1, 2021 Accepting new patients
Central City Community Health Center Inc Past Accepting new patients

Locations

947 S Anaheim Blvd
Ste 240
Anaheim, CA 92805
Phone (714) 635-4424

41889 State Highway 74
Hemet, CA 92544
Phone (951) 652-8700

1525 W Florida Ave
Ste D
Hemet, CA 92543
Phone (951) 929-6777

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nayeema.ahmed.p78@direct.kmsm.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063410280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST",
            "address_2": "STE. #110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033901",
            "telephone_number": "951-351-1071",
            "fax_number": "951-351-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST",
            "address_2": "STE. #110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033901",
            "telephone_number": "951-351-1071",
            "fax_number": "951-351-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "NAYEEMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A87847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A878470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.