Individual provider Active NPI

Ahmed Hasson, MD

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1912646126
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A206663 Issued in CA
Practice address
2300 Bell Executive LN
Sacramento, CA 95825-4068
Phone
(925) 685-4224
NPI assigned
Jun 4, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Internal Medicine Physician 207R00000X A206663 CA Primary

Addresses

Primary practice location

2300 Bell Executive LN
Sacramento, CA 95825-4068

Mailing address

2300 Bell Executive LN
Sacramento, CA 95825-4068
Phone (925) 685-4224

Other practice location 1

4351 E Lohman Ave Ste 300
Las Cruces, NM 88011-8262
Phone (916) 801-4601

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
I20250912003285 CA Practitioner - Internal Medicine 3678076700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jiva Health IncGroup PAC ID 5092115105, 46 clinicians

Practice addresses (Care Compare)

2182 E St
Concord, CA 94520-2012
Phone (925) 685-4228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A206663CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jiva Health Primary Care CurrentSince Sep 8, 2025 Accepting new patients
Jiva Health, Inc Internal Medicine CurrentSince Sep 8, 2025 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

2182 East St
Concord, CA 94520
Phone (925) 392-4731

1620 Pennsylvania Ave
Ste B
Fairfield, CA 94533
Phone (707) 425-2002

1145 Whiskeytown Ct
Ste A
Redding, CA 96001
Phone (530) 246-4180

8303 Sierra College Blvd
Ste 109B
Roseville, CA 95661
Phone (916) 337-5502

2300 Bell Executive Ln
Sacramento, CA 95825
Phone (615) 327-6611

Interoperability endpoints

  • Direct secure messaging: ahasson239175@hpmg.direct-ci.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1912646126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BELL EXECUTIVE LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254068",
            "telephone_number": "925-685-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BELL EXECUTIVE LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254068",
            "telephone_number": "925-685-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4351 E Lohman Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118262",
            "country_code": "US",
            "telephone_number": "916-801-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSON",
        "first_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-04",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A206663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.