Individual provider Active NPI

Mohammed Muzammil Ahmed, M.D

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1184856916
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A124696 Issued in CA
Practice address
4180 La Jolla Village Dr Ste 240
La Jolla, CA 92037-1471
Phone
(866) 277-2659
Fax
(858) 779-2511
NPI assigned
Aug 12, 2009
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A124696 CA Primary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X A124696 CA

Addresses

Primary practice location

4180 La Jolla Village Dr Ste 240
La Jolla, CA 92037-1471

Mailing address

4180 La Jolla Village Dr Ste 240
La Jolla, CA 92037-1471
Phone (866) 277-2659

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
I20140124001688 CA Practitioner - NeuropsychiatryPractitioner - Psychiatry 0446488217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Neurohealth IncGroup PAC ID 6103109327, 10 clinicians

Practice addresses (Care Compare)

23521 Paseo de Valencia
Suite 300
Laguna Hills, CA 92653-3107
Phone (866) 277-2659

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A124696CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Neurohealth, Inc. Behavioral Neurology & Neuropsychiatry CurrentSince Jan 7, 2017 Accepting new patients
County of San Diego Current Accepting new patients
County of San Diego CurrentSince Dec 7, 2013 Accepting new patients
County of San Diego CurrentSince Dec 7, 2013 Accepting new patients
Center for Neurohealth, Inc. Current Accepting new patients
The Neuron Clinic GP PastSince Feb 16, 2026 Accepting new patients
William R. Shankle MD Inc. PastSince Nov 1, 2019 Accepting new patients
Advanced TMS Clinic Inc Psychiatry PastSince May 24, 2020 Accepting new patients

Locations

296 H St
Ste 304
Chula Vista, CA 91910
Phone (619) 333-3810

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

4180 La Jolla Village Dr
Ste 240
La Jolla, CA 92037
Phone (310) 277-9534

23521 Paseo de Valencia
Ste 300
Laguna Hills, CA 92653
Phone (866) 277-2659

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

838 Nordahl Rd
Ste 200
San Marcos, CA 92069
Phone (619) 425-3840

Interoperability endpoints

  • Direct secure messaging: ahmedmd@kbc-ca.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/24703/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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

Hospital & facility affiliations 3

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": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1184856916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 LA JOLLA VILLAGE DR STE 240",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371471",
            "telephone_number": "866-277-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 LA JOLLA VILLAGE DR STE 240",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371471",
            "telephone_number": "866-277-2659",
            "fax_number": "858-779-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MOHAMMED",
        "middle_name": "MUZAMMIL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A124696",
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "CA",
            "license": "A124696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.