Ahmed Mohamed Dfaalla

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

696286 Issued in AZ

Practice address

4624 W Paradise Dr
Glendale, AZ 85304-3029

Phone

(602) 772-7051

NPI assigned

Jan 14, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Legacy Path Home Care LLC

  • In Home Supportive Care Agency
  • Glendale, AZ
  • NPI 1376401885
  NPD Authorized official
• Ridelink LLC

  • Non-emergency Medical Transport (VAN)
  • Glendale, AZ
  • NPI 1144936154
  NPD Authorized official
• Angel Care Group Home

  • In Home Supportive Care Agency
  • Glendale, AZ
  • NPI 1255868089
  NPD (past) Authorized official

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1629467683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 W PARADISE DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043029",
            "telephone_number": "602-772-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 W PARADISE DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043029",
            "telephone_number": "602-772-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DFAALLA",
        "first_name": "AHMED",
        "middle_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "696286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie L Dewey, RN
• Lindsay Dewolfe, FNP-C
• Cheryl Dewood, DDS, PHD
• Kathryn Lynne Dewood, D.M.D.
• Stephen Rood Dexter
• Ravneet S Dhaliwal, M.B.,B.S., M.D.
• Rajat K Dhar, MD
• Alhareth Dhari
• Karnail S Dhillon, MD
• DHT Hand Therapy Limited Partnership

• All providers in Glendale, AZ
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.