JIBRAN A AHMED NPI 1992311823

NPI Information

NPI: 1992311823
Provider Name: JIBRAN A AHMED
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
4100 NEWPORT PLACE DR STE 730
NEWPORT BEACH, CA
ZIP 92660
Phone: (206) 695-7600
Get Directions

Jibran A Ahmed is a psychiatric/mental health nurse practitioner in Newport Beach, CA with 3 years of experience. Jibran A Ahmed NPI is 1992311823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4100 NEWPORT PLACE DR STE 730
NEWPORT BEACH, CA
ZIP 92660-411
Phone: (206) 695-7600

The NPI 1992311823 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2020 and was last updated on 11/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		95281954	CALIFORNIA	No
2	163W00000X	Registered Nurse		RN60865339	WASHINGTON	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61172870	WASHINGTON	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95020754	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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