DR. AHMAD EDRIS (NPI# 1689890808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689890808 |
| Entity Type | Individual |
| Full Name | DR. AHMAD EDRIS |
| Credential | M.D. |
| Practice Address |
14445 Olive View Dr Room 2c-121 Sylmar CA 91342-1437 |
| Practice Telephone | 8183644287 |
| Practice Fax Number | 8183644538 |
| Mailing Telephone | 8183644287 |
| Mailing Fax Number | 8183644538 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2013-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A98251 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
A98251 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
14445 OLIVE VIEW DR ROOM 2C-121 |
| City | SYLMAR |
| State | CA |
| Zip Code | 91342-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758864 | Miguel Angel Valdes-sueiras | Psychiatry & Neurology | 14445 Olive View Dr, #2c-136, Sylmar, CA 91342-1437 | 2005-08-23 |
| 1568075505 | Dexter Alejandro De Vera | Registered Nurse | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-08-28 |
| 1790396968 | County of Los Angeles | General Acute Care Hospital | 14445 Olive View Dr, Clinic A Exam Room 1-11, Sylmar, CA 91342-1438 | 2020-08-12 |
| 1982225405 | Sandy Peoples | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-05-06 |
| 1255952503 | Samir Shah | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-28 |
| 1407476864 | Jennifer Vanessa Mogi | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-25 |
| 1376163717 | Mia Kunitomo | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-24 |
| 1215557830 | Jonathan Mason Allen | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-23 |
| 1568081966 | Erfan Zarrinkhoo | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1438 | 2020-04-15 |
| 1407475759 | Karen My Ly | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
| Find all providers in zip 91342 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982723276 | J Nathan Rubin M.d. | Internal Medicine | 14124 Foothill Blvd, Sylmar, CA 91342-8049 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430412 | Anitha Rajamanickam Md Apmc | Internal Medicine | 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 | 2020-09-03 |
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1841820677 | Sarsam Cardiology A Professional Corporation | Internal Medicine | 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 | 2020-01-21 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
| 1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
| 1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
| 1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
| 1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.