Organization Active NPI

Foundation Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Pico Rivera, CA
National Provider Identifier
1457631640
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A33354 Issued in CA
Legal business name
FOUNDATION MEDICAL GROUP, INC.
Practice address
4511 Rosemead Blvd
Pico Rivera, CA 90660-2032
Phone
(562) 695-2282
Fax
(562) 695-7252
NPI assigned
Aug 19, 2011
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Khalid Bashir Ahmed, M.D.
Title
Owner
Phone
(562) 695-2282

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A40390 CA
Orthopaedic Surgery Physician 207X00000X A25158 CA
Orthopaedic Surgery Physician 207X00000X A33354 CA Primary

Addresses

Primary practice location

4511 Rosemead Blvd
Pico Rivera, CA 90660-2032

Mailing address

4511 Rosemead Blvd
Pico Rivera, CA 90660-2032
Phone (562) 695-2282

Other practice location 1

1845 Business Center Dr Ste 214
San Bernardino, CA 92408-3447
Phone (909) 824-2361

National Provider Directory

National Provider Directory

Locations

1535 S D St
#D
San Bernardino, CA 92408
Phone (909) 824-2361

1845 Business Center Dr
Ste 214
San Bernardino, CA 92408
Phone (626) 622-6120

8555 Aero Dr
Ste 107
San Diego, CA 92123
Phone (619) 542-0884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1457631640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 ROSEMEAD BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602032",
            "telephone_number": "562-695-2282",
            "fax_number": "562-695-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 ROSEMEAD BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602032",
            "telephone_number": "562-695-2282",
            "fax_number": "562-695-7252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1845 Business Center Dr Ste 214",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083447",
            "country_code": "US",
            "telephone_number": "909-824-2361",
            "fax_number": "909-824-2319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATION MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "BASHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-695-2282",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A40390",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A25158",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A33354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pico Rivera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.