Omar Ahmed, MD
Individual provider Active NPI Plastic Surgery Physician · Pasadena, CA
NPI 1104970540 · NPPES record last updated Sep 13, 2024
Key facts
- NPI
- 1104970540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- A110375 (CA)
- Practice address
- 1044 S Fair Oaks Ave
Suite 110
Pasadena, CA 91105-2622 - Phone
- (915) 497-6534
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 17
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premiere Plastic Surgery Inc
Practice addresses (Care Compare)
950 S Arroyo Pkwy
FL 3
Pasadena, CA 91105-3932
Phone (626) 449-4859
Hospital & facility affiliations
- Northridge Hospital Medical Center
- Huntington Hospital
- Usc Arcadia Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110325000272 | CA | Practitioner - Plastic and Reconstructive Surgery |
8820198112 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110375 | CA | MD | Clinical Social Worker |
| 060344 | GA | MD | Plastic Surgery Physician |
Practice roles (17 of 18)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical Clinic, Inc | Current |
Accepting new patients | |
| Premiere Plastic Surgery Inc | Plastic Surgery | Current |
Accepting new patients |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Plastic Surgery | Current |
Accepting new patients |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Usc University Hospital, Inc. | Past | Accepting new patients | |
| Jane Todd Crawford Memorial Hospital, Inc. | Past | Accepting new patients | |
| Emanate Health Foothill Presbyterian Hospital | Past | Accepting new patients | |
| Burke Emergency Physicians | Past | Accepting new patients | |
| Huntington Memorial Hospital, Inc. | Past | Accepting new patients | |
| Emanate Health Medical Center | Past | Accepting new patients | |
| RMC Surgery Center, LLC | Past | Accepting new patients | |
| Riverside Medical Center | Past | Accepting new patients | |
| Usc Arcadia Hospital | Past | Accepting new patients | |
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients | |
| Adventist Health System-Sunbelt, Inc | Past | Accepting new patients | |
| Ogeechee Valley Emergency Physicians | Past | Accepting new patients |
Locations
35 E Glenarm St
Pasadena, CA 91105
Phone (626) 768-4415
1044 S Fair Oaks Ave
Ste 101
Pasadena, CA 91105
Phone (626) 449-4859
950 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 449-4859
7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
7160 Brockton Ave
Fl 2
Riverside, CA 92506
Phone (951) 782-3837
21634 Retreat Pkwy
Temescal Valley, CA 92883
Phone (951) 782-5157
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 060344 | GA | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | A110375 | CA | |
| Plastic Surgery Physician | 208200000X | A110375 | CA | Yes |
Addresses
Primary practice location
1044 S Fair Oaks Ave
Suite 110
Pasadena, CA 91105-2622
Mailing address
1044 S Fair Oaks Ave
Suite 110
Pasadena, CA 91105-2622
Phone (915) 497-6534
Other practice location 1
7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 782-3642
Other providers in Pasadena, CA
- Alya Ahmad
- Ana Julia Kalsoom Ahmad
- Asim Q Ahmad
- Massey Ahmadi
- Asra Sumreen Ahmed
- Patience Mercy Ahmed
- Rasiq Abdul Jabbar Ahmed
- Betty S Ahn
- Helen Hyesung Ahn
- Ray Ahn
All providers in Pasadena, CA · Plastic Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.