Active NPI
Zavier Shawkat Ahmed MD Inc
- Nephrology Physician
- Fountain Valley, CA
National Provider Identifier
1407561160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- ZAVIER SHAWKAT AHMED MD INC
- Practice address
- 17150 Euclid St Ste 200
Fountain Valley, CA 92708-4092 - Phone
- (949) 910-2076
- NPI assigned
- Jan 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zavier Shawkat Ahmed, MD
- Title
- Ceo
- Phone
- (949) 910-2076
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
17150 Euclid St Ste 200
Fountain Valley, CA 92708-4092
Mailing address
1669 Sonora Creek LN
Lake Forest, CA 92610-3020
Phone (949) 910-2076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A135146 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673913600000",
"number": "1407561160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1669 SONORA CREEK LN",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926103020",
"telephone_number": "949-910-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17150 EUCLID ST STE 200",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084092",
"telephone_number": "949-910-2076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZAVIER SHAWKAT AHMED MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "ZAVIER",
"authorized_official_middle_name": "SHAWKAT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-910-2076",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A135146",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.