Active NPI
Ahmed Abdelrazek
- Psychiatry Physician
- Sacramento, CA
National Provider Identifier
1669092128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A192283
- Practice address
- 2180 Harvard St Ste 210
Sacramento, CA 95815-3318 - Phone
- (206) 809-1525
- NPI assigned
- Apr 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A192283 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2180 Harvard St Ste 210
Sacramento, CA 95815-3318
Mailing address
9772 Ruddy Duck Way
Elk Grove, CA 95757
Phone (206) 602-4588
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 |
|---|---|---|---|
| A192283 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1669092128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9772 RUDDY DUCK WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "95757",
"telephone_number": "206-602-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 HARVARD ST STE 210",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958153318",
"telephone_number": "206-809-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELRAZEK",
"first_name": "AHMED",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-24",
"last_updated": "2024-08-20",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A192283",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.