Hed Ahmadpour MD Facc, Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A30282 Issued in CA

Legal business name

HED AHMADPOUR MD FACC, INC

Practice address

3650 E South Street
Suite 110B
Lakewood, CA 90712-1502

Phone

(562) 925-8407

Fax

(562) 925-1723

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hed Ahmadpour, M.D.NPI 1912093436

Title

President

Phone

(562) 925-8407

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hed Ahmadpour, M.D.

  • Cardiovascular Disease Physician
  • Lakewood, CA
  • NPI 1912093436
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1144313768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25050 AVENUE KEARNY",
            "address_2": "SUITE 208",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551255",
            "telephone_number": "661-430-0940",
            "fax_number": "661-295-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 E SOUTH STREET",
            "address_2": "SUITE 110B",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121502",
            "telephone_number": "562-925-8407",
            "fax_number": "562-925-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HED AHMADPOUR MD FACC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "AHMADPOUR",
        "authorized_official_first_name": "HED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-925-8407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A30282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRES. MEDICAL LICENSE#",
            "identifier": "A30282",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.