Active NPI
Masoud Ahmadzai
- Pharmacist
- Sonora, CA
National Provider Identifier
1417520727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83141
- Practice address
- 1000 Greenley Rd
Sonora, CA 95370-5200 - Phone
- (209) 536-5000
- NPI assigned
- Jul 23, 2021
- Last updated
- Nov 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83141 | CA | Primary |
Addresses
Primary practice location
1000 Greenley Rd
Sonora, CA 95370-5200
Mailing address
1717 Groveview Way
Tracy, CA 95376-5299
Phone (209) 834-4784
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahmadzmm@ah.org | ||
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83141 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637884800000",
"number": "1417520727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 GROVEVIEW WAY",
"city": "TRACY",
"state": "CA",
"postal_code": "953765299",
"telephone_number": "209-834-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GREENLEY RD",
"city": "SONORA",
"state": "CA",
"postal_code": "953705200",
"telephone_number": "209-536-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMADZAI",
"first_name": "MASOUD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-23",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83141",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahmadzmm@ah.org",
"affiliation": "N",
"endpointDescription": "Work email",
"address_1": "1000 Greenley Rd",
"city": "Sonora",
"state": "CA",
"country_code": "US",
"postal_code": "953705200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1717 Groveview Way",
"city": "Tracy",
"state": "CA",
"country_code": "US",
"postal_code": "953765299",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.