Active NPI
Naeem M Akhtar
Doing business as Madera Ambulatory Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Madera, CA
National Provider Identifier
1629135843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NAEEM M AKHTAR
- Doing business as
- Madera Ambulatory Endoscopy Center
- Practice address
- 451 E Almond Ave
Suite 105
Madera, CA 93637-5562 - Phone
- (559) 673-4000
- Fax
- (559) 673-3661
- NPI assigned
- Jan 3, 2007
- Last updated
- Jun 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Akhtar M Naeem, MD
- Title
- Administrator
- Phone
- (559) 673-8111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
451 E Almond Ave
Suite 105
Madera, CA 93637-5562
Mailing address
451 E Almond Ave
Suite 105
Madera, CA 93637-5562
Phone (559) 673-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SUR01271F | Medicaid | CA |
Other names 1
- Madera Ambulatory Endoscopy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080721000808 | CA | Part B Supplier - Ambulatory Surgical Center | 4486727658 | Practice locations: Madera, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Madera Ambulatory Endoscopy Center
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1015 W Yosemite Ave
Ste 101
Madera, CA 93637
Phone (209) 673-4000
451 E Almond Ave
Ste 105
Madera, CA 93637
Phone (559) 673-4000
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Gastroenterology Physician
- Madera, CA
- NPI 1831291863
-
- Gastroenterology Physician
- Madera, CA
- NPI 1265490551
-
- Gastroenterology Physician
- Kirkland, WA
- NPI 1710255591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371427200000",
"number": "1629135843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 E ALMOND AVE",
"address_2": "SUITE 105",
"city": "MADERA",
"state": "CA",
"postal_code": "936375562",
"telephone_number": "559-673-4000",
"fax_number": "559-673-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 E ALMOND AVE",
"address_2": "SUITE 105",
"city": "MADERA",
"state": "CA",
"postal_code": "936375562",
"telephone_number": "559-673-4000",
"fax_number": "559-673-3661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAEEM M AKHTAR",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2013-06-17",
"status": "A",
"authorized_official_last_name": "NAEEM",
"authorized_official_first_name": "AKHTAR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "559-673-8111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SUR01271F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Madera Ambulatory Endoscopy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.