Shahrin Ahmad, MPT
Individual provider Active NPI Physical Therapist · Fremont, CA
NPI 1972070555 · NPPES record last updated Nov 1, 2018
Key facts
- NPI
- 1972070555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 295702 (CA)
- Practice address
- 39210 State St Ste 202
Fremont, CA 94538-1456 - Phone
- (510) 790-9480
- Fax
- (510) 790-9490
- NPI assigned
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190219000459 | CA | Practitioner - Physical Therapist in Private Practice | 9234477167 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295702 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Ida L Coryell Hirst | Physical Therapist | Current |
Accepting new patients |
| Kokila Patel, Inc | Physical Therapist | Current |
Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
3100 Dublin Blvd
Dublin, CA 94568
Phone (925) 556-4200
39210 State St
Ste 202
Fremont, CA 94538
Phone (510) 441-8906
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
3908 Valley Ave
Ste B
Pleasanton, CA 94566
Phone (925) 417-8005
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
2805 Whipple Rd
Union City, CA 94587
Phone (510) 441-8906
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 295702 | CA | Yes |
Addresses
Primary practice location
39210 State St Ste 202
Fremont, CA 94538-1456
Mailing address
39210 State St Ste 202
Fremont, CA 94538-1456
Phone (510) 790-9480
Other providers in Fremont, CA
- Francesca Aguon
- Dolly BK Ahluwalia
- Fatima Aziz Ahmad
- Rachida Ahmad
- Rania Ahmad
- Ebrahim Ahmadi
- Mary Ahmadi
- Hiba Ahmed
- Mohammad Raheemuddin Ahmed
- Rabbia Ahmed
All providers in Fremont, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.