Active NPI
Ahead California Medical PC
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1083248041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- AHEAD CALIFORNIA MEDICAL PC
- Practice address
- 6310 San Vicente Blvd Ste 360
Los Angeles, CA 90048-5448 - Phone
- (855) 306-7786
- NPI assigned
- Feb 28, 2020
- Last updated
- Feb 28, 2020
- 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
- Michael Hu, MD
- Title
- President
- Phone
- (855) 306-7786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
6310 San Vicente Blvd Ste 360
Los Angeles, CA 90048-5448
Mailing address
1700 S Amphlett Blvd Ste 221
San Mateo, CA 94402-2727
Phone (855) 306-7786
National Provider Directory
National Provider DirectoryLocations
1700 S Amphlett Blvd
Ste 221
San Mateo, CA 94402
Phone (925) 412-3425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582848000000",
"number": "1083248041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 S AMPHLETT BLVD STE 221",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944022727",
"telephone_number": "855-306-7786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 SAN VICENTE BLVD STE 360",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485448",
"telephone_number": "855-306-7786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHEAD CALIFORNIA MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-28",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A",
"authorized_official_last_name": "HU",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "855-306-7786",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.