Mahboobe Ahmadi, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP11787 Issued in CA

Practice address

6554 McAbee Rd.
San Jose, CA 95120

Phone

(408) 997-3134

NPI assigned

May 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Mae Bidgoli Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1699034587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6554 MCABEE RD.",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95120",
            "telephone_number": "408-997-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6554 MCABEE RD.",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95120",
            "telephone_number": "408-997-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADI",
        "first_name": "MAHBOOBE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP11787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAE",
            "last_name": "BIDGOLI",
            "prefix": "MRS.",
            "credential": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ahealthcenter Medical Group
• Anne Margaret Ahlman, MPT
• Amit Ahluwalia, MD
• Mohsena Ahmad, D.D.S.
• Zubia Ahmad
• Aylin Ahmadian Sarai
• Yulisa Ahmadu
• Robin Srejon Ahmed Choudhury
• Ahmed Manassra DMD PC
• Ahmed Zaafran Medical Group, P.C.

• Speech-Language Pathologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.