NPIMap

Individual provider Active NPI

Afnan Aisha Qadeer, M.D.

  • Family Medicine Physician
  • Livingston, CA
National Provider Identifier
1083728794
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A94041 Issued in CA
Practice address
1140 Main St
Livingston, CA 95334-1257
Phone
(209) 394-7913
Fax
(209) 394-3660
NPI assigned
Aug 18, 2006
Last updated
Jan 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A94041 CA Primary

Addresses

Primary practice location

1140 Main St
Livingston, CA 95334-1257

Mailing address

1140 Main St
Livingston, CA 95334-1257
Phone (209) 394-7913

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000610 CA Practitioner - Family Practice 4587660816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

378 W Olive Ave
Merced, CA 95348-3182

378 W Olive Ave B
Fountain View Radiological Med SVCS
Merced, CA 95348-3182
Phone (209) 384-3024

378 W Olive Ave C
Mfa Podiatry
Merced, CA 95348-3182
Phone (209) 384-3198

535 W 25TH St
Mfa Parkside Medical Clinic
Merced, CA 95340-2838
Phone (209) 722-9066

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90941CAMDFamily Medicine Physician
A94041CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lumira Healthcare CurrentSince Jun 1, 2012 Accepting new patients
Merced Faculty Associates Medical Group Incorporated Family Medicine Current Accepting new patients
Lumira Healthcare Current Accepting new patients
Merced Faculty Associates Medical Group Incorporated Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
Lumira Healthcare CurrentSince Jun 1, 2012 Accepting new patients
Lumira Healthcare PastSince Aug 1, 2020 Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1140 Main St
Livingston, CA 95334
Phone (209) 394-7913

600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500

535 W 25th St
Merced, CA 95340
Phone (209) 722-9066

Interoperability endpoints

  • Direct secure messaging: afnan.qadeer.1@3012.direct.athenahealth.com

Organizations & group practices 8

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1083728794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 MAIN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341257",
            "telephone_number": "209-394-7913",
            "fax_number": "209-394-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MAIN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341257",
            "telephone_number": "209-394-7913",
            "fax_number": "209-394-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADEER",
        "first_name": "AFNAN",
        "middle_name": "AISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A94041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, CA

Sources for this page

Verify at the official NPI Registry.