Arzou D Ahsan, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Berkeley, CA
NPI 1154437432 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154437432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- A71481 (CA)
- Practice address
- 2915 Telegraph Ave
Suite 200
Berkeley, CA 94705-2060 - Phone
- (510) 845-8047
- Fax
- (510) 845-8035
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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 |
|---|---|---|---|---|
| I20040629001091 | CA | Practitioner - Obstetrics/Gynecology | 5496731499 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A71481 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Van Buren Hma LLC | Past | Accepting new patients | |
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Sutter Community Health | Past | Accepting new patients |
Locations
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
3687 Mt Diablo Blvd
Ste 200
Lafayette, CA 94549
Phone (510) 204-6660
350 30th St
Ste 205
Oakland, CA 94609
Phone (510) 444-0790
12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180
795 El Camino Real
#1112
Palo Alto, CA 94301
Interoperability endpoints
- aahsan17175@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A71481 | CA | Yes |
Addresses
Primary practice location
2915 Telegraph Ave
Suite 200
Berkeley, CA 94705-2060
Mailing address
10470 Old Placerville Rd
Sacramento, CA 95827-2528
Phone (916) 854-6666
Other providers in Berkeley, CA
- Jessica Ahmed
- Palwasha Ahmed
- Pia Ahmed
- Raisa Sharmin Ahmed
- Min Sik Ahn
- Keri Reyne Aiani
- Rachelle Aiello
- Allison Marie Aiken
- Aila Health, Inc
- Aimc Berkeley
All providers in Berkeley, CA · Obstetrics & Gynecology 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 Jul 8, 2007. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.