Active NPI
Ahmad W Husari, MD
- Pulmonary Disease Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A49093
- Practice address
- 7117 Brockton Ave
Riverside, CA 92506-2658 - Phone
- (951) 784-3045
- NPI assigned
- Sep 26, 2006
- Last updated
- Oct 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 17283 | WV | |
| Pulmonary Disease Physician | 207RP1001X | A49093 | CA | Primary |
Addresses
Primary practice location
7117 Brockton Ave
Riverside, CA 92506-2658
Mailing address
400 C Depot St
PO Box 303
Burnsville, WV 26335
Phone (304) 853-2461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0204374000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A49093 | CA | MD | Pulmonary Disease Physician |
| 17283 | WV | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmed Husari, MD, Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| RMC Surgery Center, LLC | Past | Accepting new patients | |
| Sleep Medicine WV, Inc. | Pulmonary Disease | Past | Accepting new patients |
| Mountain State Sleep Center, Inc | Past | Accepting new patients |
Locations
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714
21634 Retreat Pkwy
Temescal Valley, CA 92883
Phone (951) 782-5157
809 Mineral Rd
Glenville, WV 26351
Phone (304) 462-5708
1194 Pineview Dr
Morgantown, WV 26505
Phone (304) 439-0447
1194 Pineview Dr
Morgantown, WV 26505
Phone (304) 439-0447
Organizations & group practices 7
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.
-
dba Riverside Medical Clinic
- Dermatology Physician
- Riverside, CA
- NPI 1720183403
-
dba Riverside Medical Clinic
- Internal Medicine Physician
- Riverside, CA
- NPI 1730180415
-
dba Riverside Medical Clinic
- Internal Medicine Physician
- Riverside, CA
- NPI 1982013884
-
- Specialist
- Morgantown, WV
- NPI 1366531287
-
dba RMC Surgery Center
- Ambulatory Surgical Clinic/Center
- Riverside, CA
- NPI 1396709077
-
dba Oakland Sleep Solutions
- Sleep Medicine (Internal Medicine) Physician
- Morgantown, WV
- NPI 1801171012
-
dba Charleston Sleep Solutions
- Specialist
- Charleston, WV
- NPI 1407849771
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1407957665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 C DEPOT ST",
"address_2": "PO BOX 303",
"city": "BURNSVILLE",
"state": "WV",
"postal_code": "26335",
"telephone_number": "304-853-2461",
"fax_number": "304-853-2468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7117 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062658",
"telephone_number": "951-784-3045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSARI",
"first_name": "AHMAD",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WV",
"license": "17283",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A49093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0204374000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.