Ahmad Paden, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000005008 Issued in CA

Practice address

4165 E Thousand Oaks Blvd Ste 150
Westlake Village, CA 91362-3837

Phone

(805) 371-9116

NPI assigned

Jun 26, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1427675339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 CANOGA AVE APT 212",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676653",
            "telephone_number": "818-281-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 E THOUSAND OAKS BLVD STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623837",
            "telephone_number": "805-371-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADEN",
        "first_name": "AHMAD",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000005008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@bodylogicsportstherapy.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Westlake Sports Physical Therapy Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4165 E Thousand Oaks Blvd Ste 150",
            "city": "Westlake Village",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913623837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pacific Coast Psychology Group, Inc.
• Pacific Heritage Medical Group Inc
• Stephanie Paden
• Alvin Gabriel Pagan, DDS
• Traci Elizabeth Page, LMFT
• Anita Susan Pakula, MD
• Daniela Pallafacchina, PSYD, MAMFT

• Athletic Trainer in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.