Organization Active NPI

Timed Bio

  • Clinical Medical Laboratory
  • Encino, CA
National Provider Identifier
1669200739
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Feb 10, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20240910000870 CA Part B Supplier - Independent Clinical Laboratory 9638619281 Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.