Ahmad Mohamed Ussman

Primary specialty

DentistTaxonomy code 122300000X

License

110363 Issued in CA

Practice address

236 S Vine St
Paso Robles, CA 93446-3704

Phone

(347) 451-5192

NPI assigned

Jun 2, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1972297067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023728",
            "telephone_number": "347-459-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 S VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463704",
            "telephone_number": "347-451-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USSMAN",
        "first_name": "AHMAD",
        "middle_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uchp Incorporated
• Emily Ula, CCC-SLP
• Mitchell Allen Ulibarri, D.D.S.
• Collette L Ulivarri, RD
• Alexander Marc Ursitti, PT, DPT
• Priscilla Valloo, BPHARM
• Sarah Kirsten Van Dame, M.A.
• Paul J. Vanderheyden, D.D.S.
• Michele Alexis Vanderlinde, RDH PHD
• James Timothy Vaughan, DPT

• Dentist in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.