AHMED MOHAMED MAHDI NP NPI 1467935858

NPI Information

  • NPI: 1467935858
  • Provider Name: AHMED MOHAMED MAHDI, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12730 HEACOCK ST STE 4A
    MORENO VALLEY, CA
    ZIP 92553
  • Phone: (951) 243-8517

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NPI Details

Ahmed Mohamed Mahdi, NP is an adult health nurse practitioner in Moreno Valley, CA. Ahmed Mohamed Mahdi, NP NPI is 1467935858. 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:

12730 HEACOCK ST STE 4A
MORENO VALLEY, CA
ZIP 92553-040
Phone: (951) 243-8517

The NPI 1467935858 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Extended office or other outpatient service, first hour (HCPCS:99354)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Smoking and tobacco use intensive counseling, more than 10 minutes (HCPCS:99407)
  • New patient home visit, typically 1 hour (HCPCS:99344)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 9/11/2018 and was last updated on 3/7/2023.

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
1363LA2100XNurse PractitionerAcute Care95009179CALIFORNIANo
2363LG0600XNurse PractitionerGerontology95009179CALIFORNIANo
3363LX0106XNurse PractitionerOccupational Health95009179CALIFORNIANo
4363LA2200XNurse PractitionerAdult Health95009179CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
195009179OTHERCALIFORNIACALIFORNIA STATE NURSE PRACTITIONER

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: 3/30/2025

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