Individual provider Active NPI

Regina-Celeste Shahnaz Ahmad, M.D., PHD

  • Dermatology Physician
  • San Francisco, CA
National Provider Identifier
1861629321
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A113304 Issued in CA
Practice address
1701 Divisadero St
San Francisco, CA 94115-3011
Phone
(415) 353-7800
Fax
(415) 353-9654
NPI assigned
Jun 11, 2009
Last updated
Jan 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A113304 CA Primary

Addresses

Primary practice location

1701 Divisadero St
San Francisco, CA 94115-3011

Mailing address

1701 Divisadero St
San Francisco, CA 94115-3011
Phone (415) 353-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151005002502 CA Practitioner - Dermatology 3779891171 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113304CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Aug 3, 2015 Accepting new patients
University of California SFGH Medical Group Dermatology CurrentSince Aug 3, 2015 Accepting new patients
University of California San Francisco Dermatology CurrentSince Oct 1, 2015 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 1, 2015 Accepting new patients
UCSF Medical Group Business Services Dermatology CurrentSince Oct 1, 2015 Accepting new patients
University of California San Francisco CurrentSince Oct 1, 2015 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

1701 Divisadero St
San Francisco, CA 94115
Phone (415) 353-7300

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

995 Potrero Ave
Bldg 90
San Francisco, CA 94110
Phone (628) 206-4777

Interoperability endpoints

  • Direct secure messaging: rahmad65753@direct-ucsfmedicalcenter.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1861629321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153011",
            "telephone_number": "415-353-7800",
            "fax_number": "415-353-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153011",
            "telephone_number": "415-353-7800",
            "fax_number": "415-353-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "REGINA-CELESTE",
        "middle_name": "SHAHNAZ",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A113304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.