Ali Ahmad Medical Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C127870 Issued in CA

Legal business name

ALI AHMAD MEDICAL CORP

Practice address

350 W 5TH St Ste 105
San Pedro, CA 90731-2751

Phone

(424) 477-5576

Fax

(424) 299-4176

NPI assigned

Jun 10, 2014

Last updated

Aug 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ali Ahmad, MD

Title

Owner

Phone

(714) 596-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1841603586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 5TH ST STE 105",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312751",
            "telephone_number": "424-477-5576",
            "fax_number": "424-299-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 5TH ST STE 105",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312751",
            "telephone_number": "424-477-5576",
            "fax_number": "424-299-4176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W 5th St",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907312737",
            "country_code": "US",
            "telephone_number": "424-477-5576",
            "fax_number": "424-299-4186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 W 5th St",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907312737",
            "country_code": "US",
            "telephone_number": "424-477-5576",
            "fax_number": "424-299-4186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16111 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926473804",
            "country_code": "US",
            "telephone_number": "714-596-0400",
            "fax_number": "714-596-0410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALI AHMAD MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-596-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C127870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB246770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oluwafemisayo A Akinnagbe, MD
• Gina Alba, R.N.
• Jasmine Marie Albanes, LCSW
• Laura Fernanda Alejandre Alvarez
• Catherine Alfaro
• Rosario C Aliviado, LCSW
• Allan I Larner MD, Inc.
• Allan M. Delman, M. D. a Medical Corporation (Allan M Delman, M.D.)
• Deborah Anne Allsup, L.AC PHD
• Johanna Alsayyid

• Family Medicine Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.