NPIMap

Organization Active NPI

Mohammed Ahmeduddin DPM

  • Podiatrist
  • Glendale, CA
National Provider Identifier
1477507176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4653 Issued in CA
Legal business name
MOHAMMED AHMEDUDDIN DPM
Practice address
1017 N Brand Blvd
Suite a
Glendale, CA 91202-2906
Phone
(818) 637-2455
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mohammed Rasheed Ahmeduddin, DPM
Title
Owner/Podiatrist
Phone
(818) 637-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E4653 CA Primary

Addresses

Primary practice location

1017 N Brand Blvd
Suite a
Glendale, CA 91202-2906

Mailing address

1017 N Brand Blvd
Suite a
Glendale, CA 91202-2906
Phone (818) 637-2455

National Provider Directory

National Provider Directory

Locations

1017 N Brand Blvd
#A
Glendale, CA 91202
Phone (818) 637-2455

Practitioners & affiliated clinicians

Practitioners 2

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477507176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 N BRAND BLVD",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022906",
            "telephone_number": "818-637-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 N BRAND BLVD",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022906",
            "telephone_number": "818-637-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED AHMEDUDDIN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMEDUDDIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "RASHEED",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "818-637-2455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.