Organization Active NPI

Naeem M Akhtar

Doing business as Madera Ambulatory Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Madera, CA
National Provider Identifier
1629135843
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SUR01271FMedicaidCA

Other names 1

  • Madera Ambulatory Endoscopy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 05C0001271
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.