Nasrin Ahmadi, D.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA51815 Issued in CA

Practice address

630 Shatto PL
Los Angeles, CA 90005-1303

Phone

(323) 810-1917

NPI assigned

Oct 2, 2013

Last updated

Jun 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nasrin Ahmadi Professional name

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nasrin.ahmadi@398008301912068.direct.elationemr.com

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

• Family Quality Medical Center Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Burbank, CA
  • NPI 1982573838
  Medicare reassignment NPD
• I Ready Medical Center Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Burbank, CA
  • NPI 1104628148
  Medicare reassignment NPD
• Global Integrated Medical Group, Inc.

  • Primary Care Nurse Practitioner
  • West Covina, CA
  • NPI 1578019485
  Medicare reassignment
• Global Medical GRP Inc

  • Adolescent Medicine (Family Medicine) Physician
  • West Covina, CA
  • NPI 1629682067
  Medicare reassignment
• Noble Care Medical Group, Inc

  dba San Fernando Medical Center

  • Family Medicine Physician
  • San Fernando, CA
  • NPI 1093933939
  Medicare reassignment
• Riverside Optimal Healthcare, Inc

  • Neurology Physician
  • Burbank, CA
  • NPI 1497352876
  Medicare reassignment
• Sylmar Medical Group Physician Assistant Inc

  • Physician Assistant
  • Sylmar, CA
  • NPI 1336905991
  Authorized official Same address or phone
• Atalla Medical Group

  • Family Medicine Physician
  • San Fernando, CA
  • NPI 1356963417
  NPD
• La Family Medical Group Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Burbank, CA
  • NPI 1164391009
  NPD
• Sepulveda Family Medical Clinic Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Panorama City, CA
  • NPI 1841167541
  NPD
• California Mobile Medical Group Inc

  dba The Mobile DRS

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1588439061
  NPD (past)
• Mobile Physicians Medical Allied Group Inc

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1184199275
  NPD (past)

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1346677572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9839 BELMAR AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241655",
            "telephone_number": "630-935-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SHATTO PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051303",
            "telephone_number": "323-810-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADI",
        "first_name": "NASRIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2023-06-01",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA51815",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NASRIN",
            "last_name": "AHMADI",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ania Ahmadi, LCSW
• Hamed Ahmadi, MD
• Jamshid Ahmadi, M.D.
• Mohamad Reza Ahmadi
• Nariman Ahmadi
• Sheila Ahmadi, MD
• Deniz Eren Ahmadinia, PSY.D.
• Nooshin Ahmadvand, P.T.
• Amara Unissa Ahmed
• Anitha Fathima Ahmed

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.