Individual provider Active NPI

Faisal Ahmed, MD

  • Radiation Oncology Physician
  • Stanford, CA
National Provider Identifier
1427314855
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A137401 Issued in CA
Practice address
Stanford Medical Center, Dept. of Radiation Oncology
875 Blake Wilbur Dr RM 305
Stanford, CA 94305-0000
Phone
(650) 723-6171
NPI assigned
Apr 10, 2012
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A137401 CA Primary

Addresses

Primary practice location

Stanford Medical Center, Dept. of Radiation Oncology
875 Blake Wilbur Dr RM 305
Stanford, CA 94305-0000

Mailing address

875 Blake Wilbur Drive, RM 305
Stanford, CA 94305-0000
Phone (650) 723-6171

Other practice location 1

11234 Anderson St
Loma Linda University Medical Center-Radiation Oncology
Loma Linda, CA 92354-2804
Phone (909) 558-4280

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180327000678 CA Practitioner - Radiation Oncology 5092077396 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Utah School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians
My MD IncGroup PAC ID 1759699499, 7 clinicians

Practice addresses (Care Compare)

1441 Eastlake Ave
Suite 2424
Los Angeles, CA 90089-0112
Phone (323) 442-2582

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

2680 N Santiago Blvd
Suite 100
Orange, CA 92867-1859
Phone (714) 356-6105

5832 Beach Blvd
Unit 201
Buena Park, CA 90621-5501
Phone (714) 522-0908

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A137401CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Mar 3, 2019 Accepting new patients
County of Santa Clara CurrentSince Mar 3, 2019 Accepting new patients
UC Regents Department of Radiation Oncology Radiation Oncology CurrentSince Nov 1, 2019 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Apr 1, 2022 Accepting new patients
My MD Inc CurrentSince Apr 15, 2022 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Mar 3, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Mar 3, 2019 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Apr 1, 2022 Accepting new patients
County of Santa Clara Past Accepting new patients
Keck Medical Center of Usc Past Accepting new patients
University of California Irvine Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 503
Anaheim, CA 92801
Phone (714) 533-1703

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

2680 N Santiago Blvd
Ste 100
Orange, CA 92867
Phone (714) 356-6105

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1427314855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DRIVE, RM 305",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943050000",
            "telephone_number": "650-723-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STANFORD MEDICAL CENTER, DEPT. OF RADIATION ONCOLOGY",
            "address_2": "875 BLAKE WILBUR DR RM 305",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943050000",
            "telephone_number": "650-723-6171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11234 Anderson St",
            "address_2": "Loma Linda University Medical Center-Radiation Oncology",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "909-558-4280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "FAISAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A137401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4733 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.