Active NPI
Alast Ahmadi, MD
- Internal Medicine Physician
- Long Beach, CA
National Provider Identifier
1962088799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A183260
- Practice address
- 1220 E 4TH St
Long Beach, CA 90802-1831 - Phone
- (888) 530-4415
- Fax
- (855) 712-7837
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A183260 | CA | Primary |
Addresses
Primary practice location
1220 E 4TH St
Long Beach, CA 90802-1831
Mailing address
1220 E 4TH St
Long Beach, CA 90802-1831
Phone (888) 530-4415
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220505001468 | CA | Order and Referring Only - Internal Medicine | 7618364993 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A183260 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altamed Health Services Corp | Current | Accepting new patients |
Locations
11541 Rosecrans Ave
Norwalk, CA 90650
Phone (562) 923-9414
Organizations & group practices 1
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.
-
- PACE Provider Organization
- Norwalk, CA
- NPI 1902192875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1962088799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 E 4TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908021831",
"telephone_number": "888-530-4415",
"fax_number": "855-712-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 E 4TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908021831",
"telephone_number": "888-530-4415",
"fax_number": "855-712-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMADI",
"first_name": "ALAST",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A183260",
"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 Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.