Individual provider Active NPI

Mary M Ahmadian, N.P.

  • Acute Care Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1952812448
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95007280 Issued in CA
Practice address
Global Transitional Care Suite 100
2 Executive Circle
Irvine, CA 92614
Phone
(949) 679-3210
NPI assigned
Oct 24, 2017
Last updated
Oct 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95007280 CA Primary
Gerontology Nurse Practitioner 363LG0600X 95007280 CA

Addresses

Primary practice location

Global Transitional Care Suite 100
2 Executive Circle
Irvine, CA 92614

Mailing address

Global Transitional Care Suite 100
Irvine, CA 92614
Phone (949) 679-3210

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171213002179 CA Practitioner - Nurse Practitioner 0345508719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Bay Gastroenterology Medical GroupGroup PAC ID 4183651375, 12 clinicians

Practice addresses (Care Compare)

23456 Hawthorne Blvd
Suite 300
Torrance, CA 90505-4716
Phone (310) 539-2055

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007280CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Transitional Care, LLC CurrentSince Oct 23, 2017 Accepting new patients
South Bay Gastroenterology Medical Group CurrentSince Jun 18, 2018 Accepting new patients

Locations

2 Executive Cir
Ste 100
Irvine, CA 92614
Phone (949) 668-3277

5161 California Ave
Ste 200
Irvine, CA 92617
Phone (949) 543-0124

23456 Hawthorne Blvd
Ste 300
Torrance, CA 90505
Phone (310) 316-6190

23600 Telo Ave
Ste 260
Torrance, CA 90505
Phone (310) 539-2055

Organizations & group practices 2

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.

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": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1952812448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GLOBAL TRANSITIONAL CARE SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "949-679-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GLOBAL TRANSITIONAL CARE SUITE 100",
            "address_2": "2 EXECUTIVE CIRCLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "949-679-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADIAN",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95007280",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95007280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.