Organization Active NPI

Jaspreet S Ahuja MD

  • Pulmonary Disease Physician
  • Glendora, CA
National Provider Identifier
1659924488
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
JASPREET S AHUJA MD
Practice address
353 W Foothill Blvd
Glendora, CA 91741-5309
Phone
(626) 914-5219
NPI assigned
Jul 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Jaspreet S Ahuja, MDNPI 1174765960
Title
Ceo
Phone
(312) 451-9334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

353 W Foothill Blvd
Glendora, CA 91741-5309

Mailing address

154A W Foothill Blvd # 376
Upland, CA 91786-3847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191021000464 CA Part B Supplier - Clinic/Group Practice 1153652326 Receives reassigned benefits from 1 practitioner
Practice locations: West Covina, CA; Upland, CA; Rancho Cucamonga, CA; Pomona, CA; Montclair, CA; Glendora, CA; Covina, CA; Chino, CA…

National Provider Directory

National Provider Directory

Locations

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1659924488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154A W FOOTHILL BLVD # 376",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 W FOOTHILL BLVD",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917415309",
            "telephone_number": "626-914-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPREET S AHUJA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-21",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "AHUJA",
        "authorized_official_first_name": "JASPREET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-451-9334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.