JAVED AHMAD A PROFESSIONAL MEDICAL CORPORATION
NPI 1164956637
Internal Medicine in Indio, CA

Active since April 12, 2017CLIA 05D0955879 · Waiver
81833 DR CARREON BLVD, STE 2, INDIO, CA 92201(760) 863-0155(760) 863-0199 Get Directions Write a Review

NPPES record last updated: August 7, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 7, 2017, Apr 12, 2017 (2 updates tracked since 2017).

About Javed Ahmad A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAVED AHMAD A PROFESSIONAL MEDICAL CORPORATION (NPI 1164956637) is a healthcare organization registered as an internal medicine in Indio, California and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Javed Ahmad, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1164956637
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJAVED AHMAD A PROFESSIONAL MEDICAL CORPORATION
Location Address81833 DR CARREON BLVD, STE 2Indio, CA 92201-0602
Mailing AddressPo Box 14117Palm Desert, CA 92255-4117 · (760) 863-0155
Fax(760) 863-0199
Organization SubpartNo
Authorized OfficialJaved AhmadOwner/provider · (760) 863-0155
Enumeration DateApril 12, 2017
Last NPPES UpdateAugust 7, 20172 updates tracked since enumeration
NPI 1164956637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A55292
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
81833 DR CARREON BLVD, Indio, CA 92201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0955879

Javed Ahmad MD · Indio, CA
Active · expires Jan 11, 2027
CLIA Number05D0955879
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorJaved Ahmad MD
Laboratory Phone(760) 863-0155
Laboratory LocationJaved Ahmad MD81-833 Suite #2, Dr Carreon Blvd, Indio, CA 92201
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Sleep Disorder Diagnostic)
81833 DR CARREON BLVD, SUITE 4
INDIO, CA 92201
Optometrist
81833 DR CARREON BLVD, SUITE 5
INDIO, CA 92201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Javed Ahmad A Professional Medical Corporation's NPI number?

The NPI number for Javed Ahmad A Professional Medical Corporation is 1164956637. It was assigned to this organization in the NPPES registry on April 12, 2017.

Where is Javed Ahmad A Professional Medical Corporation located?

Javed Ahmad A Professional Medical Corporation is located at 81833 Dr Carreon Blvd Ste 2, Indio, CA 92201. The listed phone number is (760) 863-0155.

What is Javed Ahmad A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Javed Ahmad A Professional Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0955879) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Javed Ahmad A Professional Medical Corporation was last updated on August 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.