Individual provider Active NPI

Lamis Al-Ahmad, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1356445522
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C152422 Issued in CA
Practice address
1860 N Western Ave Ste 101
Los Angeles, CA 90027-3491
Phone
(323) 825-9223
Fax
(323) 978-4883
NPI assigned
Sep 11, 2006
Reactivated
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301062743 MI
Pediatrics Physician 208000000X C152422 CA Primary

Addresses

Primary practice location

1860 N Western Ave Ste 101
Los Angeles, CA 90027-3491

Mailing address

24422 Avenida de la Carlota Ste 300
Laguna Hills, CA 92653-3628
Phone (949) 599-2434

Other identifiers 2

IdentifierTypeStateIssuer
080E009340OtherMIBCBSM/BCN
3281943MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C152422CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco PastSince Feb 23, 2025 Accepting new patients
Coastal Kids, a Professional Medical Corporation Pediatrics Past Accepting new patients
Cedars-Sinai Medical Center PastSince Feb 23, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lalahmad248921@direct.hfhs.org
  • Direct secure messaging: lamis.al-ahmad.1@27732.direct.athenahealth.com

Organizations & group practices 3

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1356445522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533628",
            "telephone_number": "949-599-2434",
            "fax_number": "949-599-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 N WESTERN AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273491",
            "telephone_number": "323-825-9223",
            "fax_number": "323-978-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-AHMAD",
        "first_name": "LAMIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "deactivation_date": "2025-01-23",
        "reactivation_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301062743",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C152422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM/BCN",
            "identifier": "080E009340",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3281943",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.