Farhat Ahmad, MD

Individual provider Active NPI Pediatrics Physician · Ashland, CA

NPI 1720143662 · NPPES record last updated Apr 9, 2026

Key facts

NPI
1720143662
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
C50077 (CA)
Practice address
16110 E 14TH St
Ashland, CA 94578-3002
Phone
(510) 471-5880
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190916002607 CA Practitioner - Pediatric Medicine 2860598455 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C50077CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiburcio Vasquez Health Center, Inc. Current Accepting new patients
Tiburcio Vasquez Health Center, Inc. Current
since Sep 17, 2019
Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

16110 E 14th St
Ashland, CA 94578
Phone (510) 398-7500

33255 9th St
Union City, CA 94587
Phone (510) 690-6052

Interoperability endpoints

  • Direct secure messaging: fahmad289130@direct.ochin.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C50077 CA Yes

Addresses

Primary practice location

16110 E 14TH St
Ashland, CA 94578-3002

Mailing address

16110 E 14TH St
Ashland, CA 94578-3002
Phone (510) 471-5880

Other practice location 1

22331 Mission Blvd
Hayward, CA 94541-3911
Phone (510) 471-5880

Other identifiers

IdentifierTypeStateIssuer
01105366MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 9, 2026.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1720143662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 E 14TH ST",
            "city": "ASHLAND",
            "state": "CA",
            "postal_code": "945783002",
            "telephone_number": "510-471-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 E 14TH ST",
            "city": "ASHLAND",
            "state": "CA",
            "postal_code": "945783002",
            "telephone_number": "510-471-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22331 MISSION BLVD",
            "address_purpose": "LOCATION",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413911",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "FARHAT",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C50077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01105366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, CA

All providers in Ashland, CA · Pediatrics Physician in California

Sources for this page

Verify at the official NPI Registry.