Active NPI
Timed Bio
- Clinical Medical Laboratory
- Encino, CA
National Provider Identifier
1669200739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- TIMED BIO
- Practice address
- 17835 Ventura Blvd Ste 201
Encino, CA 91316-3669 - Phone
- (872) 263-5397
- NPI assigned
- Jul 22, 2024
- 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
- Shaik Ehtisham Ahmed
- Title
- Ceo
- Phone
- (872) 263-5397
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
17835 Ventura Blvd Ste 201
Encino, CA 91316-3669
Mailing address
17835 Ventura Blvd Ste 201
Encino, CA 91316-3669
Phone (872) 263-5397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240910000870 | CA | Part B Supplier - Independent Clinical Laboratory | 9638619281 | Practice locations: Torrance, CA |
National Provider Directory
National Provider DirectoryLocations
3858 W Carson St
Ste 120
Torrance, CA 90503
Phone (323) 538-2447
20675 S Western Ave
Ste 112A
Torrance, CA 90501
Phone (617) 543-2603
3858 W Carson St
Ste 120A
Torrance, CA 90503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770681600000",
"number": "1669200739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17835 VENTURA BLVD STE 201",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163669",
"telephone_number": "872-263-5397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17835 VENTURA BLVD STE 201",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163669",
"telephone_number": "872-263-5397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMED BIO",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-22",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A",
"authorized_official_last_name": "EHTISHAM AHMED",
"authorized_official_first_name": "SHAIK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "872-263-5397"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.