Siraj K Ahmed MD Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

C138466 Issued in CA

Legal business name

SIRAJ K AHMED MD INC

Practice address

520 E Center St
Manteca, CA 95336-4720

Phone

(209) 665-7054

Fax

(209) 647-4805

NPI assigned

Jan 26, 2017

Organization subpart

No

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

Authorized official

Name

Jacob Wolf

Title

Credentialing Department

Phone

(209) 956-9166

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Siraj K Ahmed MD Inc

  dba Valley Hyperbaric Center

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Manteca, CA
  • NPI 1235737610

  O20170317001360

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Siraj K Ahmed MD Inc

  dba Valley Hyperbaric Center

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Manteca, CA
  • NPI 1235737610
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Siraj K Ahmed, M.D.

  • Pulmonary Disease Physician
  • Manteca, CA
  • NPI 1265513121
  Medicare reassignment

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1396282406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 NORTH MAIN STREET",
            "address_2": "PMB 311",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363208",
            "telephone_number": "209-665-7054",
            "fax_number": "209-239-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E CENTER ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364720",
            "telephone_number": "209-665-7054",
            "fax_number": "209-647-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRAJ K AHMED MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CREDENTIALING DEPARTMENT",
        "authorized_official_telephone_number": "209-956-9166"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C138466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265513121",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jagdip Singh, RN
• Manbir Singh
• Parminder Singh
• Sartaj Singh
• Siraj K Ahmed MD Inc (Valley Hyperbaric Center)
• Molly Skipper, BCBA
• Sleepmed of California
• Sleepmed of California, Inc. (BioSerenity)
• Sleepmed Therapies Inc
• Leslie Marie Smith, CMT

• Pulmonary Disease Physician in Manteca, CA
• Providers in Manteca, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.