EBRAHIM AHMADI, M D INC.
NPI 1710134465
Clinic/Center in Fremont, CA

Active since August 25, 2008
38143 MARTHA AVE, FREMONT, CA 94536(510) 791-2002 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2022, Oct 19, 2016, Aug 10, 2016 (3 updates tracked since 2016).

About Ebrahim Ahmadi, M D Inc. NPPES

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

EBRAHIM AHMADI, M D INC. (NPI 1710134465) is a healthcare organization registered as a clinic/center in Fremont, California and active in the NPI registry since August 2008. The organization lists Ebrahim Ahmadi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710134465
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEBRAHIM AHMADI, M D INC.
Location Address38143 MARTHA AVEFremont, CA 94536-3800
Mailing Address38143 Martha AveFremont, CA 94536-3800 · (510) 791-2002
Organization SubpartNo
Authorized OfficialEbrahim AhmadiCeo · (510) 791-2002
Enumeration DateAugust 25, 2008
Last NPPES UpdateNovember 11, 20223 updates tracked since enumeration
NPPES CertifiedNovember 11, 2022
✔ NPI 1710134465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · AO50313
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
38143 MARTHA AVE, Fremont, CA 94536

Other Identifiers 1

Medicaid00A503131CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebrahim Ahmadi, M D Inc. 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 Ebrahim Ahmadi, M D Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1417008426
38143 MARTHA AVE
Fremont, CA 94536
(510) 791-2002
✔ PECOS✔ Accepts MedicareSame address

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

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 Ebrahim Ahmadi, M D Inc.'s NPI number?

The NPI number for Ebrahim Ahmadi, M D Inc. is 1710134465. It was assigned to this organization in the NPPES registry on August 25, 2008.

Where is Ebrahim Ahmadi, M D Inc. located?

Ebrahim Ahmadi, M D Inc. is located at 38143 Martha Ave, Fremont, CA 94536. The listed phone number is (510) 791-2002.

What is Ebrahim Ahmadi, M D Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Ebrahim Ahmadi, M D Inc. enrolled in Medicare?

Yes. Ebrahim Ahmadi, M D Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ebrahim Ahmadi, M D Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ebrahim Ahmadi, M D Inc.. 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.

When was this NPI record last updated?

The NPPES record for Ebrahim Ahmadi, M D Inc. was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.