Ahmed Alsadek, MD Inc.
Organization Active NPI Internal Medicine Physician · Fountain Valley, CA
NPI 1467883272 · NPPES record last updated Dec 3, 2013
Key facts
- NPI
- 1467883272
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A93004 (CA)
- Legal business name
- AHMED ALSADEK, MD INC.
- Practice address
- 17100 Euclid St
Fountain Valley, CA 92708-4004 - Phone
- (310) 962-0224
- NPI assigned
- Dec 3, 2013
- Organization subpart
- No
Authorized official
- Name
- Ahmed Alsadek, M.D.
- Title
- President / Medical Doctor
- Phone
- (310) 962-0224
Practitioners 1
-
Ahmed Fekry Al-Sadek, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170919003150 | CA | Part B Supplier - Clinic/Group Practice | 2769756477 |
Receives reassigned benefits from 1 practitioner Practice locations: Fountain Valley, CA |
National Provider Directory
Locations
17050 Bushard St
Ste 205
Fountain Vly, CA 92708
Phone (657) 223-7867
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | A93004 | CA | Yes |
Addresses
Primary practice location
17100 Euclid St
Fountain Valley, CA 92708-4004
Mailing address
45 Palatine
# 134
Irvine, CA 92612-7628
Phone (310) 962-0224
Other providers in Fountain Valley, CA
- Thelma Aguilar
- Janelle Penalosa Agustin
- Bernadette Ah-Hing
- Mehrdad Ahdoot
- Narjes Ahmadi
- Zavier Shawkat Ahmed
- Amy Ahn
- Ai Huang, D.M.D., Inc.
- Nicholas Aiello
- Ajay Bhatnagar MD PC
All providers in Fountain Valley, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.