NPIMap

Individual provider Active NPI

Omar Ahmed, MD

  • Plastic Surgery Physician
  • Pasadena, CA
National Provider Identifier
1104970540
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A110375 Issued in CA
Practice address
1044 S Fair Oaks Ave
Suite 110
Pasadena, CA 91105-2622
Phone
(915) 497-6534
NPI assigned
Jan 23, 2007
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 060344 GA
Surgery of the Hand (Surgery) Physician 2086S0105X A110375 CA
Plastic Surgery Physician 208200000X A110375 CA Primary

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

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
I20110325000272 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 8820198112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premiere Plastic Surgery IncGroup PAC ID 4789867243, 5 clinicians

Practice addresses (Care Compare)

950 S Arroyo Pkwy
FL 3
Pasadena, CA 91105-3932
Phone (626) 449-4859

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
060344GAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Plastic Surgery Inc Plastic Surgery CurrentSince Feb 15, 2011 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Riverside Medical Clinic, Inc Plastic Surgery CurrentSince Sep 19, 2023 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Sep 19, 2023 Accepting new patients
Huntington Memorial Hospital, Inc. Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Jane Todd Crawford Memorial Hospital Inc. Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Adventist Health System-Sunbelt, Inc Past Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. Past Accepting new patients
RMC Surgery Center, LLC Past Accepting new patients
Jane Todd Hospital Radiological Associates,LLC Past Accepting new patients
Burke Emergency Physicians Past Accepting new patients
Riverside Medical Center Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Ogeechee Valley Emergency Physicians Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

1044 S Fair Oaks Ave
Ste 101
Pasadena, CA 91105
Phone (626) 449-4859

35 E Glenarm St
Pasadena, CA 91105
Phone (626) 768-4415

950 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 449-4859

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714

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

Organizations & group practices 19

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.

View all 19

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1104970540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 S FAIR OAKS AVE",
            "address_2": "SUITE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052622",
            "telephone_number": "915-497-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 S FAIR OAKS AVE",
            "address_2": "SUITE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052622",
            "telephone_number": "915-497-6534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7117 Brockton Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062658",
            "country_code": "US",
            "telephone_number": "951-782-3642",
            "fax_number": "951-784-3266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "060344",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A110375",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A110375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.