Organization Active NPI

Agah Medical PC

  • Cardiovascular Disease Physician
  • Mountain View, CA
National Provider Identifier
1316764293
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
AGAH MEDICAL PC
Practice address
2495 Hospital Drive
Suite 550
Mountain View, CA 94040-4186
Phone
(650) 315-1252
Fax
(650) 220-6075
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Dr. Ramtin Agah, M.D.NPI 1255326310
Title
Owner/President
Phone
(650) 315-1252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

2495 Hospital Drive
Suite 550
Mountain View, CA 94040-4186

Mailing address

2495 Hospital Drive
Unit 550
Mountain View, CA 94040
Phone (650) 315-1252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241206001602 CA Part B Supplier - Clinic/Group Practice 9537695002 Receives reassigned benefits from 2 practitioners
Practice locations: Mountain View, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2318089Agah Medical2495 Hospital Dr Suite 550, Mountain View, CA 94040Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory

Locations

2495 Hospital Dr
Ste 550
Mountain View, CA 94040
Phone (650) 770-2424

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1316764293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 HOSPITAL DRIVE",
            "address_2": "UNIT 550",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "94040",
            "telephone_number": "650-315-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 HOSPITAL DRIVE",
            "address_2": "SUITE 550",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404186",
            "telephone_number": "650-315-1252",
            "fax_number": "650-220-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "AGAH",
        "authorized_official_first_name": "RAMTIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "650-315-1252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.