Active NPI
Ahmad Haroon Musleh, MD
- Family Medicine Physician
- Modesto, CA
National Provider Identifier
1710743083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14438
- Practice address
- 1400 Florida Ave Ste 102
Modesto, CA 95350-4446 - Phone
- (209) 949-0230
- NPI assigned
- Feb 26, 2024
- Last updated
- May 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14438 | CA | Primary |
Addresses
Primary practice location
1400 Florida Ave Ste 102
Modesto, CA 95350-4446
Mailing address
2311 Ivy Hill Way Apt 1125
San Ramon, CA 94582-4320
Phone (209) 949-0230
Other practice location 1
2311 Ivy Hill Way Apt 1125
San Ramon, CA 94582-4320
Phone (209) 949-0230
Other practice location 2
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1710743083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 IVY HILL WAY APT 1125",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945824320",
"telephone_number": "209-949-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 FLORIDA AVE STE 102",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504446",
"telephone_number": "209-949-0230"
}
],
"practiceLocations": [
{
"address_1": "2311 Ivy Hill Way Apt 1125",
"address_purpose": "LOCATION",
"city": "San Ramon",
"state": "CA",
"postal_code": "945824320",
"country_code": "US",
"telephone_number": "209-949-0230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "374 Stockholm St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112374006",
"country_code": "US",
"telephone_number": "718-963-7272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUSLEH",
"first_name": "AHMAD",
"middle_name": "HAROON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-26",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "14438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.