Individual provider Active NPI

Ahmed M. Naji, D.D.S

  • Dentist
  • San Bernardino, CA
National Provider Identifier
1477697423
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48647 Issued in CA
Practice address
1799 N Waterman Ave Ste E
Suite E.
San Bernardino, CA 92404-5107
Phone
(909) 883-8282
Fax
(909) 883-8288
NPI assigned
Feb 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 48647 CA Primary

Addresses

Primary practice location

1799 N Waterman Ave Ste E
Suite E.
San Bernardino, CA 92404-5107

Mailing address

1799 N Waterman Ave Ste E
Suite E.
San Bernardino, CA 92404-5107
Phone (909) 883-8282

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421000707 CA Order and Referring Only - DentistPractitioner - Dentist 5991003154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48647CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ahmed M. Naji DDS Inc. Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477697423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 N WATERMAN AVE STE E",
            "address_2": "SUITE E.",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045107",
            "telephone_number": "909-883-8282",
            "fax_number": "909-883-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 N WATERMAN AVE STE E",
            "address_2": "SUITE E.",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045107",
            "telephone_number": "909-883-8282",
            "fax_number": "909-883-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJI",
        "first_name": "AHMED",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.