Individual provider Active NPI

Ahmad Sadoon Khalifa, M.D.

  • Obstetrics & Gynecology Physician
  • Long Beach, CA
National Provider Identifier
1902954837
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A79995 Issued in CA
Practice address
801 Pacific Ave
Long Beach, CA 90813-4225
Phone
(562) 546-2496
Fax
(562) 546-2794
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A79995 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A79995 CA
Obstetrics & Gynecology Physician 207V00000X A79995 CA Primary

Addresses

Primary practice location

801 Pacific Ave
Long Beach, CA 90813-4225

Mailing address

5540 Spinnaker Bay Dr
Long Beach, CA 90803-6804
Phone (562) 644-9293

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahmad.khalifa.p1@direct.eisnerhealth.nextgenshare.com Health Information Exchange (HIE)

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
I20051213000878 CA Practitioner - Obstetrics/GynecologyPractitioner - Internal MedicinePractitioner - Geriatric Medicine 9931120359 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

720 Alamitos Ave
Long Beach, CA 90813-4726
Phone (562) 546-2496

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Sep 16, 2016 Accepting new patients
Pih Health Physicians Internal Medicine CurrentSince Sep 16, 2016 Accepting new patients
County of Los Angeles CurrentSince Mar 18, 2013 Accepting new patients
County of Los Angeles CurrentSince Mar 18, 2013 Accepting new patients
Ahmad Khalifa, M.D., Apc Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Pih Health Physicians Current Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Oct 1, 2023 Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
St. Mary Medical Center Past Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

7601 Imperial Hwy
Downey, CA 90242
Phone (310) 940-8111

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

720 Alamitos Ave
Long Beach, CA 90813
Phone (562) 218-6200

801 Pacific Ave
Long Beach, CA 90813
Phone (562) 489-7405

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1902954837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 SPINNAKER BAY DR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908036804",
            "telephone_number": "562-644-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134225",
            "telephone_number": "562-546-2496",
            "fax_number": "562-546-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIFA",
        "first_name": "AHMAD",
        "middle_name": "SADOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79995",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A79995",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A79995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahmad.khalifa.p1@direct.eisnerhealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGenShare, Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1530 S Olive St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900153023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.