Individual provider Active NPI

Zeineldin Ahmad, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Leandro, CA
National Provider Identifier
1376866707
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4910 Issued in CA
Practice address
1300 Bancroft Ave
Suite#103
San Leandro, CA 94577-5147
Phone
(510) 483-3390
Fax
(510) 394-6402
NPI assigned
Mar 12, 2010
Last updated
Nov 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4910 CA Primary

Addresses

Primary practice location

1300 Bancroft Ave
Suite#103
San Leandro, CA 94577-5147

Mailing address

3240 Lone Tree Way
Ste 206
Antioch, CA 94509-5559
Phone (925) 978-2738

Other identifiers 1

IdentifierTypeStateIssuer
5146740MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110127000509 CA Practitioner - Podiatry 3072792795 Reassigns benefits to 1 organization
Practice locations: Pleasanton, CA; San Leandro, CA; Stockton, CA
O20180525000209 CA DME Supplier - Physician - Podiatry 6103181052 Practice locations: Pleasanton, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Foot Clinic IncGroup PAC ID 9638526627, 3 clinicians

Practice addresses (Care Compare)

5720 Stoneridge Mall Rd
Suite 130
Pleasanton, CA 94588-2829
Phone (925) 523-3468

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions1-10
Removal of nail tissue5106
Removal or shaving of skin growth1127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Foot Clinic Inc CurrentSince Sep 27, 2023 Accepting new patients
Bay Area Foot and Ankle Care Inc Past Accepting new patients

Locations

5720 Stoneridge Mall Rd
Ste 130
Pleasanton, CA 94588
Phone (510) 483-3390

13847 E 14th St
Ste 203
San Leandro, CA 94578
Phone (510) 352-5325

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1376866707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 LONE TREE WAY",
            "address_2": "STE 206",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945095559",
            "telephone_number": "925-978-2738",
            "fax_number": "925-753-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BANCROFT AVE",
            "address_2": "SUITE#103",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775147",
            "telephone_number": "510-483-3390",
            "fax_number": "510-394-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "ZEINELDIN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-12",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5146740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.