Organization Active NPI

Abdul Waheed, M.D., Inc.

  • Internal Medicine Physician
  • Burbank, CA
National Provider Identifier
1821140740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A29633 Issued in CA
Legal business name
ABDUL WAHEED, M.D., INC.
Practice address
2031 W Alameda Ave
Suite 214
Burbank, CA 91506-2958
Phone
(818) 955-5140
Fax
(818) 955-8947
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Abdul Waheed, M.D.
Title
President
Phone
(818) 955-5140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A29633 CA Primary

Addresses

Primary practice location

2031 W Alameda Ave
Suite 214
Burbank, CA 91506-2958

Mailing address

2031 W Alameda Ave
Suite 214
Burbank, CA 91506-2958
Phone (818) 955-5140

Other identifiers 1

IdentifierTypeStateIssuer
00A296330MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821140740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 W ALAMEDA AVE",
            "address_2": "SUITE 214",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062958",
            "telephone_number": "818-955-5140",
            "fax_number": "818-955-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 W ALAMEDA AVE",
            "address_2": "SUITE 214",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062958",
            "telephone_number": "818-955-5140",
            "fax_number": "818-955-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDUL WAHEED, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAHEED",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-955-5140",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A29633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A296330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.