Huma Javed Ahmad, D.O.
Individual provider Active NPI Hospitalist Physician · Vacaville, CA
NPI 1154587616 · NPPES record last updated Feb 11, 2022
Key facts
- NPI
- 1154587616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 20A 10652 (CA)
- Practice address
- 1 Quality Dr
Vacaville, CA 95688-9494 - Phone
- (707) 624-1266
- NPI assigned
- Aug 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Permanente Medical Group Inc
Practice addresses (Care Compare)
1 Quality Dr
Vacaville, CA 95688-9494
Phone (707) 624-4000
Hospital & facility affiliations
- Kaiser Foundation Hospital - Vacaville
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 |
|---|---|---|---|---|
| I20091208000474 | CA | Practitioner - Internal Medicine | 8426197294 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10652 | CA | MD | Acupuncturist |
| 20A 10652 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current |
Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
1 Quality Dr
Vacaville, CA 95688
Phone (707) 453-5000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 20A 10652 | CA | Yes |
Addresses
Primary practice location
1 Quality Dr
Vacaville, CA 95688-9494
Mailing address
1 Quality Dr
Vacaville, CA 95688-9494
Phone (707) 624-1266
Other names
- Huma Javed
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
NPI Registry JSON
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1154587616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 QUALITY DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889494",
"telephone_number": "707-624-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 QUALITY DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889494",
"telephone_number": "707-624-1266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "HUMA",
"middle_name": "JAVED",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "20A 10652",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "One Quality Drive",
"city": "Vacaville",
"state": "CA",
"country_code": "US",
"postal_code": "95688",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HUMA",
"last_name": "JAVED",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Vacaville, CA
- Imani Margarira Aguiar-Garcia
- Rosaura Iveth Aguilar
- Cristina Aguilera
- Nicolas Aguilera Jr.
- Martin Aguirre
- Azim M. Ahmady
- Leanna Marie Aho
- Aileen V. Manzano D.M.D. Inc.
- Alan Marion Akers
- Scott Akridge
All providers in Vacaville, CA · Hospitalist 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 Feb 11, 2022. 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.