Active NPI
Parveen Ahmad
- Registered Dietitian
- Long Beach, CA
National Provider Identifier
1609394980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 819874
- Practice address
- 1775 Chestnut Ave
Long Beach, CA 90813-1674 - Phone
- (562) 599-8444
- NPI assigned
- Sep 6, 2017
- Last updated
- Sep 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 819874 | CA | Primary |
Addresses
Primary practice location
1775 Chestnut Ave
Long Beach, CA 90813-1674
Mailing address
860 Ponte Vecchio CT
Upland, CA 91784-8605
Phone (909) 297-8020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 819874 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Services Inc. | 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.
-
dba Redgate Memorial Recovery Center
- Substance Abuse Rehabilitation Facility
- Long Beach, CA
- NPI 1134259088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1609394980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 PONTE VECCHIO CT",
"city": "UPLAND",
"state": "CA",
"postal_code": "917848605",
"telephone_number": "909-297-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 CHESTNUT AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908131674",
"telephone_number": "562-599-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "PARVEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "819874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.