Individual provider Active NPI

Maqsud Ahmed Dean, MS, PA-C

  • Physician Assistant
  • Yuba City, CA
National Provider Identifier
1336211333
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16072 Issued in CA
Practice address
1429 Colusa Hwy
Yuba City, CA 95993-9456
Phone
(530) 755-3218
Fax
(530) 755-3219
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16072 CA Primary

Addresses

Primary practice location

1429 Colusa Hwy
Yuba City, CA 95993-9456

Mailing address

1429 Colusa Hwy
Yuba City, CA 95993-9456
Phone (530) 755-3218

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210729001506 CA Order and Referring Only - Physician Assistant 9638063175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16072CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cardiology Associates Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336211333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 COLUSA HWY",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959939456",
            "telephone_number": "530-755-3218",
            "fax_number": "530-755-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 COLUSA HWY",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959939456",
            "telephone_number": "530-755-3218",
            "fax_number": "530-755-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "MAQSUD",
        "middle_name": "AHMED",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.