Individual provider Active NPI

Natasha Ahmed, M.D.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1174781165
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A106365 Issued in CA
Practice address
65 Rio Robles E Unit 3117
San Jose, CA 95134-1648
Phone
(408) 504-3082
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A106365 CA Primary

Addresses

Primary practice location

65 Rio Robles E Unit 3117
San Jose, CA 95134-1648

Mailing address

65 Rio Robles E Unit 3117
San Jose, CA 95134-1648
Phone (408) 504-3082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000087 CA Practitioner - Internal Medicine 3678614625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Cardiovascular Care a Medical CorporationGroup PAC ID 3779504485, 11 clinicians

Practice addresses (Care Compare)

178 2ND St
Suite D
Gilroy, CA 95020-5100
Phone (408) 842-5190

200 Jose Figueres Ave
San Jose, CA 95116-1592
Phone (408) 937-9000

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106365CAMDDentist
A106365CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Cardiovascular Care a Medical Corporation CurrentSince Mar 28, 2012 Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

178 2nd St
Ste D
Gilroy, CA 95020
Phone (408) 842-5190

200 Jose Figueres Ave
Ste 325
San Jose, CA 95116
Phone (408) 937-9000

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1174781165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RIO ROBLES E UNIT 3117",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951341648",
            "telephone_number": "408-504-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RIO ROBLES E UNIT 3117",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951341648",
            "telephone_number": "408-504-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "NATASHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A106365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.