Organization Active NPI

S H Ahmed MD PHD Inc

Doing business as New Era Oncology

  • Hematology & Oncology Physician
  • El Centro, CA
National Provider Identifier
1386955383
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A54334 Issued in CA
Legal business name
S H AHMED MD PHD INC
Doing business as
New Era Oncology
Practice address
1271 Ross Ave
El Centro, CA 92243-4304
Phone
(760) 335-3030
Fax
(760) 335-3035
NPI assigned
Jun 24, 2010
Last updated
May 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Dr. Syed Hasnat Ahmed, MDNPI 1023123288
Title
President
Phone
(760) 335-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X A54334 CA Primary

Addresses

Primary practice location

1271 Ross Ave
El Centro, CA 92243-4304

Mailing address

PO Box 23058
San Diego, CA 92193-3058
Phone (760) 335-3030

Other names 1

  • New Era Oncology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101117000480 CA Part B Supplier - Clinic/Group Practice 1052506987 Receives reassigned benefits from 4 practitioners
Practice locations: El Centro, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

1410 S La Brucherie Rd
El Centro, CA 92243
Phone (760) 335-3030

1410 S La Brucherie Rd
Ste A
El Centro, CA 92243
Phone (760) 335-3030

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1386955383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23058",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921933058",
            "telephone_number": "760-335-3030",
            "fax_number": "760-335-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434304",
            "telephone_number": "760-335-3030",
            "fax_number": "760-335-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S H AHMED MD PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "HASNAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-335-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A54334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Era Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.