Ahmad M Shaban, MD, Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A32547 Issued in CA

Legal business name

AHMAD M SHABAN, MD, INC

Practice address

26732 Crown Valley Pkwy Ste 241
Mission Viejo, CA 92691

Phone

(949) 364-2611

Fax

(949) 364-0226

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ahmad Mostafa. Shaban, M.D.

Title

Owner

Phone

(949) 364-2611

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1609069905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8223",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911098223",
            "telephone_number": "949-364-2611",
            "fax_number": "949-364-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 241",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-364-2611",
            "fax_number": "949-364-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD M SHABAN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "SHABAN",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "MOSTAFA.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-364-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A32547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A325470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Aguilar
• Ahcs Behavior Health & Chronic Clinical Care LLC
• Ahcs Specialty Care LLC (AHCS Specialty Care)
• Cathy Young Ahia, MA, LMFT
• Ajit Singh Ahluwalia, MD, MHA
• Nader A. Ahmad, M.D.
• Samir Abed Ahmad, M.D
• Azadeh Ahmadi-Ardakani, D.D.S
• Leila Ahmadi, O.D.
• Matt M Ahmadi, D.P.M.

• Gastroenterology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.