Ebrahim Ahmadi, M D Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AO50313 Issued in CA

Legal business name

EBRAHIM AHMADI, M D INC.

Practice address

38143 Martha Ave
Fremont, CA 94536-3800

Phone

(510) 791-2002

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ebrahim Ahmadi, MDNPI 1417008426

Title

Ceo

Phone

(510) 791-2002

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Ebrahim Ahmadi, MD

  • Family Medicine Physician
  • Fremont, CA
  • NPI 1417008426
  Medicare reassignment NPD Authorized official
• Amir A Dehghan, DPM

  • Podiatrist
  • Fremont, CA
  • NPI 1407938061
  NPD (past)
• Massoud Nassiri, D.C. , Q.M.E.

  • Occupational Health Chiropractor
  • San Jose, CA
  • NPI 1346259538
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1710134465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38143 MARTHA AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363800",
            "telephone_number": "510-791-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38143 MARTHA AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363800",
            "telephone_number": "510-791-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBRAHIM AHMADI, M D INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "AHMADI",
        "authorized_official_first_name": "EBRAHIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-791-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "AO50313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A503131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Bay Hand & Plastic Surgery Center Inc.
• East Bay Retina Consultants a Medical Group, Inc.
• East Bay Vision Center Optometry Inc
• East Bay Weight Control, Inc
• Vaishvi D Ebrado
• Henna Ebrahimi
• Ed Sped Solutions, Inc.
• Rita Rosado Ed, NP
• Madalyn Edgerton
• Bridget S Edirisinghe

• Clinic/Center in Fremont, CA
• Providers in Fremont, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.