Healthcare Provider Details

I. General information

NPI: 1053175711
Provider Name (Legal Business Name): AMAAD HUSAIN SALEEMI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2024
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1848 WILLOW PASS RD STE 207
CONCORD CA
94520-2542
US

IV. Provider business mailing address

24077 STATE HIGHWAY 49
NEVADA CITY CA
95959-8519
US

V. Phone/Fax

Practice location:
  • Phone: 510-778-6984
  • Fax:
Mailing address:
  • Phone: 916-770-6876
  • Fax: 530-292-3803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: