Organization Active NPI

Ahmad Khalifa, M.D., Apc

  • Obstetrics & Gynecology Physician
  • Long Beach, CA
National Provider Identifier
1942449285
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
Legal business name
AHMAD KHALIFA, M.D., APC
Practice address
801 Pacific Ave
Long Beach, CA 90813-4225
Phone
(562) 546-2496
Fax
(562) 562-2794
NPI assigned
Feb 10, 2009
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Dr. Ahmad S Khalifa, M.D.NPI 1902954837
Title
Medical Director
Phone
(562) 546-2496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

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

250 Pacific Ave
Ste. 528
Long Beach, CA 90802-3000
Phone (562) 644-9290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191029001968 CA Part B Supplier - Clinic/Group Practice 1658603493 Receives reassigned benefits from 2 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

720 Alamitos Ave
Ste 528
Long Beach, CA 90813

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1942449285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PACIFIC AVE",
            "address_2": "STE. 528",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023000",
            "telephone_number": "562-644-9290",
            "fax_number": "562-912-7775"
        },
        {
            "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": "562-562-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD KHALIFA, M.D., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "KHALIFA",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-546-2496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.