Ahmed Awad Qasim

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

331881116 Issued in CA

Practice address

11545 Doverwood Dr
Riverside, CA 92505-3205

Phone

(650) 452-2554

NPI assigned

Mar 1, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1952995086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11545 DOVERWOOD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053205",
            "telephone_number": "650-452-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11545 DOVERWOOD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053205",
            "telephone_number": "650-452-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QASIM",
        "first_name": "AHMED",
        "middle_name": "AWAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "331881116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDSS",
            "identifier": "331881116",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lee Pyon
• Pyramid Hospice Care, Inc.
• Farnoosh Qadri, MD
• Homais Salim Qadri, DDS
• Qarmon PC
• Mohammad Umer Qazi, M.D.
• Zahab Qazi, MD
• Bella Huizi Qin
• Shireen Qishta, DO
• Andy Hoang Quach, APCC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Riverside, CA
• Providers in Riverside, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.