Individual provider Active NPI

Ednan Ahmed, M.D.

  • Ophthalmology Physician
  • Escondido, CA
National Provider Identifier
1215093125
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A107504 Issued in CA
Practice address
1802 S Escondido Blvd
Escondido, CA 92025-6536
Phone
(760) 743-4393
NPI assigned
Dec 28, 2006
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 231585 MA
Ophthalmology Physician 207W00000X A107504 CA Primary

Addresses

Primary practice location

1802 S Escondido Blvd
Escondido, CA 92025-6536

Mailing address

PO Box 462866
Escondido, CA 92046-2866
Phone (617) 962-3708

Other identifiers 4

IdentifierTypeStateIssuer
0001485OtherMAMEDICARE
J42430OtherMABLUE CROSS BLUE SHIELD OF MASSACHUSETTS
2142724MedicaidMA
AA99156OtherMAHARVARD PILGRIM

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
I20090921000344 CA Practitioner - Ophthalmology 1759472400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1802 S Escondido Blvd
Escondido, CA 92025-6536
Phone (760) 743-4393

29645 Rancho California Rd
Suite 217
Temecula, CA 92591-5285
Phone (760) 743-4393

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107504CAMDOphthalmology Physician
231585MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Cataract Center & Medical Group Inc CurrentSince Jan 10, 2017 Accepting new patients
Palomar Health Past Accepting new patients
California Eye Professionals Medical Group Inc Ophthalmology Past Accepting new patients
Boston University Eye Associates, Inc. Past Accepting new patients
Boston Medical Center Corporation Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients

Locations

2390 E Florida Ave
Ste 207
Hemet, CA 92544
Phone (951) 652-6100

29826 Haun Rd
Ste 100
Sun City, CA 92586
Phone (951) 301-8888

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_cep
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1215093125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462866",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920462866",
            "telephone_number": "617-962-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 S ESCONDIDO BLVD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256536",
            "telephone_number": "760-743-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "EDNAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "231585",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A107504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0001485",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MASSACHUSETTS",
            "identifier": "J42430",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2142724",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA99156",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.