Organization Active NPI

Siraj K Ahmed MD Inc

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Manteca, CA
National Provider Identifier
1235737610
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
Legal business name
SIRAJ K AHMED MD INC
Doing business as
Valley Hyperbaric Center
Practice address
520 E Center St Ste 102
Manteca, CA 95336-4720
Phone
(209) 823-2131
Fax
(209) 823-6909
NPI assigned
Oct 16, 2020
Organization subpart
Yes
Parent organization
SIRAJ K AHMED MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Siraj K Ahmed
Title
Owner / MD
Phone
(209) 823-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0011X Primary

Addresses

Primary practice location

520 E Center St Ste 102
Manteca, CA 95336-4720

Mailing address

PO Box 298
Manteca, CA 95336-1124
Phone (209) 823-2131

Other practice location 1

333 Sunrise Ave Ste 890
Roseville, CA 95661-3482
Phone (916) 771-2555

Other names 1

  • Valley Hyperbaric Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170317001360 CA Part B Supplier - Clinic/Group Practice 2264717081 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Manteca, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Siraj K Ahmed MD Inc

Locations

520 E Center St
Ste B
Manteca, CA 95336

520 E Center St
Ste 102
Manteca, CA 95336
Phone (209) 823-2131

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1235737610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953361124",
            "telephone_number": "209-823-2131",
            "fax_number": "209-823-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E CENTER ST STE 102",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364720",
            "telephone_number": "209-823-2131",
            "fax_number": "209-823-6909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Sunrise Ave Ste 890",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613482",
            "country_code": "US",
            "telephone_number": "916-771-2555",
            "fax_number": "916-771-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIRAJ K AHMED MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIRAJ K AHMED MD INC",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SIRAJ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER / MD",
        "authorized_official_telephone_number": "209-823-2131"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Hyperbaric Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Hyperbaric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.