Active NPI
Siraj K Ahmed MD Inc
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Manteca, CA
National Provider Identifier
1235737610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Pulmonary Disease Physician
- Manteca, CA
- NPI 1396282406
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.