Antioch Medical and Hospital Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ANTIOCH MEDICAL AND HOSPITAL SUPPLY, INC.

Practice address

601 W 2ND St
Antioch, CA 94509-1286

Phone

(925) 757-4099

Fax

(925) 757-4788

NPI assigned

Oct 11, 2006

Last updated

Aug 23, 2016By 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

Mohammed Habeeb Ahmed, M.D.NPI 1770593105

Title

Owner

Phone

(408) 836-1134

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Center for Cardiovascular Care a Medical Corporation

  • Interventional Cardiology Physician
  • San Jose, CA
  • NPI 1518977958

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammed Habeeb Ahmed, M.D.

  • Cardiovascular Disease Physician
  • San Jose, CA
  • NPI 1770593105
  NPD (past) Authorized official
• Touseefuddin Syed

  • Prosthetic/Orthotic Supplier
  • Antioch, CA
  • NPI 1669317566
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1902995962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 2ND ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945091286",
            "telephone_number": "925-757-4099",
            "fax_number": "925-757-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 2ND ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945091286",
            "telephone_number": "925-757-4099",
            "fax_number": "925-757-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTIOCH MEDICAL AND HOSPITAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "HABEEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-836-1134",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ83394Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antioch Dunes Healthcare, LLC (Delta View Post Acute)
• Antioch Icf Inc (San Juan ICF)
• Antioch Icf Inc (Francisco ICF)
• Antioch Icf Inc (Putnam West ICF)
• Antioch Icf, Inc (Putnam ICF)
• Antioch Medical Park Medical Group
• Antioch Medical Park Medical Lab
• Antioch Optometry, PC
• Antioch Physical Therapy and Sports Injury Center Inc.
• Antioch Rehab

• Durable Medical Equipment & Medical Supplies in Antioch, CA
• Providers in Antioch, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.