Avicenna Critical Care, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AVICENNA CRITICAL CARE, PC

Practice address

1940 El Cajon Blvd
San Diego, CA 92104-1005

Phone

(619) 543-4500

NPI assigned

Oct 10, 2019

Organization subpart

No

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

Authorized official

Name

Ahmed Salem, D.ONPI 1578798013

Title

Owner

Phone

(858) 336-8177

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmed Adel Salem, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • La Mesa, CA
  • NPI 1578798013
  Medicare reassignment Care Compare group NPD Authorized official
• Gaurav Khanna, MD

  • Pulmonary Disease Physician
  • San Diego, CA
  • NPI 1235319500

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Soud Sediqe I, M.D.

  • Pulmonary Disease Physician
  • San Diego, CA
  • NPI 1366820540

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Spyros Kamarinos, MD

  • Pulmonary Disease Physician
  • Phoenix, AZ
  • NPI 1841523545

  CA, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Amir H Fahid

  • Internal Medicine Physician
  • Coronado, CA
  • NPI 1568740355
  Medicare reassignment NPD
• David C Willms, M.D.

  • Pulmonary Disease Physician
  • San Diego, CA
  • NPI 1285626747
  Care Compare group

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1699317644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3363",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920383363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041005",
            "telephone_number": "619-543-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8665 La Mesa Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919429503",
            "country_code": "US",
            "telephone_number": "619-465-0702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVICENNA CRITICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-336-8177",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard F. Avery, LCSW
• Vaida Avery, D.D.S.
• Zachary Hamilton Avery, LCSW, BC-TMH, TIYT
• Avi Sina Healthcare Corp
• Aviamedix, LLC
• Avida Center Acupuncture Corp
• Avidity Occupational Therapy Inc.
• Martha Avila-Jimenez
• Abigail Guadalupe Avila
• Abraham Avila, PT, DPT

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.