Individual provider Active NPI

Alast Ahmadi, MD

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1962088799
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A183260 Issued in CA
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

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505001468 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7618364993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A183260CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altamed Health Services Corp CurrentSince Feb 23, 2025 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.

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

Verify at the official NPI Registry.