Individual provider Active NPI

Yusuf Haroon Ahmad, MD

  • Anesthesiology Physician
  • Fairfield, CA
National Provider Identifier
1104020262
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A116785 Issued in CA
Practice address
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone
(707) 646-5000
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A116785 CA Primary

Addresses

Primary practice location

1200 B Gale Wilson Blvd
Fairfield, CA 94533

Mailing address

1900 Harmon St
Berkeley, CA 94703-2725
Phone (510) 225-9090

Other practice location 1

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 646-5000

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
I20110912000734 CA Practitioner - Anesthesiology 8820269475 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Apr 2, 2018 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Pontine Incorporated Anesthesiology CurrentSince May 6, 2013 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 2, 2018 Accepting new patients
Arizona Blood and Cancer Specialists, PLLC Past Accepting new patients
Fairfield on-Call Specialists PC Anesthesiology Past Accepting new patients
DHP Anesthesia Medical Group Inc Anesthesiology Past Accepting new patients
Empire Anesthesia Inc Anesthesiology Past Accepting new patients

Locations

3120 Kearney St
Fremont, CA 94538
Phone (650) 498-3600

715 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 934-7010

701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

301 Industrial Rd
#1
San Carlos, CA 94070
Phone (650) 404-8455

2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700

12935 Alcosta Blvd
Unit 2037
San Ramon, CA 94583
Phone (510) 225-9090

1006 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-2800

498 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 933-3600

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1104020262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HARMON ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032725",
            "telephone_number": "510-225-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 B GALE WILSON BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "707-646-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 B Gale Wilson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945333552",
            "country_code": "US",
            "telephone_number": "707-646-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "YUSUF",
        "middle_name": "HAROON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A116785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.