Organization Active NPI

Ahead California Medical PC

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1083248041
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.