Individual provider Active NPI

Harry H. Ahn, MD

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1730492000
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A121353 Issued in CA
Practice address
1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone
(818) 790-7100
NPI assigned
Jul 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A121353 CA
Hospitalist Physician 208M00000X A121353 CA
Family Medicine Physician 207Q00000X A121353 CA Primary

Addresses

Primary practice location

1812 Verdugo Blvd
Glendale, CA 91208-1407

Mailing address

PO Box 1264
La Canada, CA 91012-5264
Phone (805) 946-0430

Other practice location 1

1515 E Ocean Ave
Lompoc, CA 93436-7092
Phone (805) 737-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140612000345 TX Practitioner - Family Practice 6709000847 Reassigns benefits to 2 organizations
I20141030002673 CA Practitioner - Family PracticePractitioner - Hospitalist 6709000847 Reassigns benefits to 5 organizations
I20221021000982 PA Practitioner - Emergency Medicine 6709000847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 348-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
74.59
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.63
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A121353CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Sep 8, 2022 Accepting new patients
Santa Ynez River Physicians, PC Emergency Medicine CurrentSince Nov 1, 2018 Accepting new patients
Pacifica Emergency Medical Associates Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Sep 8, 2022 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince Feb 1, 2016 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 2, 2015 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Mar 22, 2014 Accepting new patients
Mend Health Inc CurrentSince Jul 1, 2015 Accepting new patients
Concord Hospitalist Group a Medical Corporation Hospitalist CurrentSince Dec 30, 2018 Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

13636 Ventura Blvd
Sherman Oaks, CA 91423
Phone (818) 763-9997

4312 Woodman Ave
Ste 102
Sherman Oaks, CA 91423
Phone (818) 205-9366

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1730492000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1264",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910125264",
            "telephone_number": "805-946-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 VERDUGO BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081407",
            "telephone_number": "818-790-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 E Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934367092",
            "country_code": "US",
            "telephone_number": "805-737-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHN",
        "first_name": "HARRY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A121353",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A121353",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A121353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.