Active NPI
Nazli Ahmed, M.D.
- Family Medicine Physician
- Costa Mesa, CA
National Provider Identifier
1861605461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A34744
- Practice address
- 1190 W. Baker Street
Suite 100
Costa Mesa, CA 92626-4105 - Phone
- (714) 668-2500
- Fax
- (714) 668-2515
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A34744 | CA | Primary |
Addresses
Primary practice location
1190 W. Baker Street
Suite 100
Costa Mesa, CA 92626-4105
Mailing address
PO Box 3699
Newport Beach, CA 92659-8699
Phone (657) 241-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A347440 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A34744 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451520000000",
"number": "1861605461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3699",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926598699",
"telephone_number": "657-241-3600",
"fax_number": "657-241-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 W. BAKER STREET",
"address_2": "SUITE 100",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264105",
"telephone_number": "714-668-2500",
"fax_number": "714-668-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "NAZLI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2015-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A34744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A347440",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.