Omar Iqbal Ahmed, M.D.
Individual provider Active NPI Anesthesiology Physician · Downey, CA
NPI 1831439231 · NPPES record last updated Dec 6, 2021
Key facts
- NPI
- 1831439231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- A122695 (CA)
- Practice address
- 9333 Imperial Hwy
Department of Anesthesiology
Downey, CA 90242-2812 - Phone
- (800) 823-4040
- NPI assigned
- Feb 21, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- New York Medical College, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
9333 Imperial Hwy
Downey, CA 90242-2812
Phone (800) 923-4040
9333 Rosecrans Ave
Bellflower, CA 90706-2141
Phone (562) 461-3000
9353 Imperial Hwy
Downey, CA 90242-2812
Phone (562) 657-9000
9449 Imperial Hwy
Downey, CA 90242-2814
Phone (562) 461-3000
Hospital & facility affiliations
- Kaiser Foundation Hospital - Downey
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140922002356 | CA | Practitioner - Anesthesiology | 1456591486 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A122695 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients |
Locations
9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340
9333 Imperial Hwy
Downey, CA 90242
Phone (562) 657-8850
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D75179 | MD | |
| Anesthesiology Physician | 207L00000X | A122695 | CA | Yes |
Addresses
Primary practice location
9333 Imperial Hwy
Department of Anesthesiology
Downey, CA 90242-2812
Mailing address
2312 Park Ave
#215
Tustin, CA 92782-2702
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067567900 | Medicaid | MD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Downey, CA
- Guadalupe Leon Aguirre
- Hector Aguirre
- Mercedes Abigail Aguirre
- Sarah Aguirre
- Nakisa Ahmadzadeh
- Sameer Ahmed
- Emily Elizabeth Ahn
- Shangida Ahsan
- Mindy L Aisen
- Steve Aivazian
All providers in Downey, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.