Individual provider Active NPI

Byung Don Ahn, MD

  • Cardiovascular Disease Physician
  • Upland, CA
National Provider Identifier
1194715193
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A39266 Issued in CA
Practice address
685 N 13TH Ave Ste 1
Upland, CA 91786-4963
Phone
(909) 500-8683
NPI assigned
Oct 21, 2005
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A39266 CA Primary

Addresses

Primary practice location

685 N 13TH Ave Ste 1
Upland, CA 91786-4963

Mailing address

1382 E Foothill Blvd
Upland, CA 91786-4014
Phone (909) 982-6500

Other practice location 1

1382 E Foothill Blvd
Upland, CA 91786-4014
Phone (909) 982-6500

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
I20080717000193 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1153216197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Heart InstituteGroup PAC ID 2860908084, 5 clinicians

Practice addresses (Care Compare)

1042 San Bernardino Rd
Upland, CA 91786-4921
Phone (909) 524-1940

685 N 13TH Ave
Upland, CA 91786-4916

685 N 13TH Ave
Upland, CA 91786-4963
Phone (909) 981-8383

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Cardiovascular Disease Current Accepting new patients
Prohealth Partners a Medical Group Inc Cardiovascular Disease CurrentSince Oct 1, 2017 Accepting new patients
Modern Nuclear, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Cardiac Imaging Inc CurrentSince Dec 6, 2024 Accepting new patients
United Heart Institute Cardiovascular Disease CurrentSince May 18, 2025 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Oct 1, 2017 Accepting new patients
B Don Ahn MD Inc Cardiovascular Disease PastSince Oct 1, 1990 Accepting new patients

Locations

5150 E Pacific Coast Hwy
Ste 500
Long Beach, CA 90804
Phone (562) 299-5200

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

5450 Jefferson Ave
Ste 2
Ontario, CA 91710
Phone (909) 315-6515

1382 E Foothill Blvd
Upland, CA 91786
Phone (909) 949-3977

685 N 13th Ave
Upland, CA 91786
Phone (909) 500-8683

685 N 13th Ave
Ste 1
Upland, CA 91786
Phone (909) 500-8683

685 N 13th Ave
Ste 10
Upland, CA 91786
Phone (909) 981-8383

685 N 13th Ave
Ste 11
Upland, CA 91786
Phone (909) 285-6717

685 N 13th Ave
Ste 2
Upland, CA 91786
Phone (909) 500-8683

685 N 13th Ave
Ste 5
Upland, CA 91786

685 N 13th Ave
Ste 7
Upland, CA 91786
Phone (909) 500-8683

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 2

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1194715193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 E FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864014",
            "telephone_number": "909-982-6500",
            "fax_number": "909-920-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 N 13TH AVE STE 1",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864963",
            "telephone_number": "909-500-8683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1382 E Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864014",
            "country_code": "US",
            "telephone_number": "909-982-6500",
            "fax_number": "909-920-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHN",
        "first_name": "BYUNG",
        "middle_name": "DON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A39266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.