Ahmed Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A51407 Issued in CA

Legal business name

AHMED MEDICAL CORPORATION

Practice address

15201 11TH St Ste 400
Victorville, CA 92395-3735

Phone

(760) 955-7095

Fax

(760) 951-1076

NPI assigned

Jul 24, 2007

Last updated

Jul 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Ahmed, MDNPI 1659303998

Title

Owner

Phone

(760) 956-1095

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omer Ahmed, MD

  • Cardiovascular Disease Physician
  • Victorville, CA
  • NPI 1962429431
  Medicare reassignment NPD
• Kelly Ahmed, MD

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1659303998
  Authorized official Same address or phone
• Tonya Maria Pinkerton, PA-C

  • Physician Assistant
  • Victorville, CA
  • NPI 1952538779
  NPD
• Ruth Ann Geide, NP-C

  • Family Nurse Practitioner
  • Liberty, SC
  • NPI 1962752519
  NPD
• Jack D Wise Jr., DC

  • Chiropractor
  • Williamston, SC
  • NPI 1255402905
  NPD
• Marylouise Schultz Wise, DC

  • Chiropractor
  • Williamston, SC
  • NPI 1578634218
  NPD
• Christine Sloat, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Victorville, CA
  • NPI 1669836185
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1346440500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 11TH ST STE 400",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953735",
            "telephone_number": "760-955-7095",
            "fax_number": "760-951-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 11TH ST STE 400",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953735",
            "telephone_number": "760-955-7095",
            "fax_number": "760-951-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-956-1095",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A51407",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A51617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Agbaosi
• Agc Medical Supply Inc.
• Sahil Aggarwal, MD
• Agnes G Quion M D Inc
• Sergio Aguila, DDS
• Kelly Ahmed, MD
• Maerah Ahmed
• Omer Ahmed, MD
• Ahura Healthcare Corporation (Inland Pain Specialists)
• Jennifer Aiono

• Family Medicine Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.