Individual provider Active NPI

Asma Ali Dahir, PA

  • Medical Physician Assistant
  • Gilroy, CA
National Provider Identifier
1689353633
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
64562 Issued in CA
Practice address
7526 Monterey St
Gilroy, CA 95020-5826
Phone
(408) 457-7100
NPI assigned
Jul 17, 2023
Reactivated
Jan 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 64562 CA Primary

Addresses

Primary practice location

7526 Monterey St
Gilroy, CA 95020-5826

Mailing address

195 E Virginia St
San Jose, CA 95112-5844
Phone (408) 457-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250204001566 CA Order and Referring Only - Physician Assistant 9335670496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
64562CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1689353633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 E VIRGINIA ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125844",
            "telephone_number": "408-457-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7526 MONTEREY ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205826",
            "telephone_number": "408-457-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHIR",
        "first_name": "ASMA",
        "middle_name": "ALI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "deactivation_date": "2024-12-10",
        "reactivation_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "64562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.