Mazna Ahmad MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A116686 Issued in CA

Legal business name

MAZNA AHMAD MD INC

Practice address

11374 Mountain View Ave
Suite a
Loma Linda, CA 92354-3830

Phone

(909) 478-0078

NPI assigned

May 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mazna Tamkin Ahmad, M.D.

Title

Owner

Phone

(516) 225-6809

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1184070666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1693",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541693",
            "telephone_number": "909-478-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11374 MOUNTAIN VIEW AVE",
            "address_2": "SUITE A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543830",
            "telephone_number": "909-478-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZNA AHMAD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MAZNA",
        "authorized_official_middle_name": "TAMKIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-225-6809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A116686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa L Mayer, RN
• Brett Jared Maynor, P.T.
• Jacob Mayor, MD
• Joseph Lee Mayor, MD
• Robynn Mays
• Sarah H Mazumder, PHARMD
• Barry Alan McBride, MSW
• Melissa D McCabe, MD, MSCR
• Derek McCalla
• Kyle F McCallin, D.O.

• Internal Medicine Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.