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AHMED MEDICAL CORPORATION
NPI 1346440500
Family Medicine in Victorville, CA

Active since July 24, 2007CLIA 05D0956908 · Waiver
15201 11TH ST STE 400, VICTORVILLE, CA 92395(760) 955-7095(760) 951-1076 Get Directions Write a Review

NPPES record last updated: July 24, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ahmed Medical Corporation NPPES

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

AHMED MEDICAL CORPORATION (NPI 1346440500) is a healthcare organization registered as a family medicine in Victorville, California and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Kelly Ahmed, Owner, as its authorized official.

NPPES Registry Identity

NPI1346440500
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAHMED MEDICAL CORPORATION
Location Address15201 11TH ST STE 400Victorville, CA 92395-3735
Mailing Address15201 11th St Ste 400Victorville, CA 92395-3735 · (760) 955-7095 · Fax (760) 951-1076
Phone(760) 955-7095
Fax(760) 951-1076
Organization SubpartNo
Authorized OfficialKelly AhmedOwner · (760) 956-1095
Enumeration DateJuly 24, 2007
✔ NPI 1346440500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A51407
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License A51617 (CA)
15201 11TH ST STE 400, Victorville, CA 92395
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Other Identifiers 2

Medicare UPINE37615CA
Medicare UPINE60172CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmed Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ahmed Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Omer Ahmed, MD
Cardiovascular Disease (Cardiology)
NPI 1962429431
14285 AMARGOSA ROAD
Victorville, CA 92392
(760) 955-7095
✔ PECOS✔ Accepts Medicare2.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D0956908

Ahmed Medical Corp · Victorville, CA
Active · expires Aug 13, 2027
CLIA Number05D0956908
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorOmer Ahmed MD
Laboratory Phone(760) 955-7095
Laboratory LocationAhmed Medical Corp14285 Amargosa Rd, Victorville, CA 92392
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ahmed Medical Corporation's NPI number?

The NPI number for Ahmed Medical Corporation is 1346440500. It was assigned to this organization in the NPPES registry on July 24, 2007.

Where is Ahmed Medical Corporation located?

Ahmed Medical Corporation is located at 15201 11th St Ste 400, Victorville, CA 92395. The listed phone number is (760) 955-7095.

What is Ahmed Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ahmed Medical Corporation enrolled in Medicare?

Yes. Ahmed Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ahmed Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Ahmed Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ahmed Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0956908) is associated with this NPI, valid through August 13, 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 Ahmed Medical Corporation was last updated on July 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.