Healthcare Provider Details

I. General information

NPI: 1518821990
Provider Name (Legal Business Name): ARIFA-IFTIKHAR AHMAD MEDICAL ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1541 RAPID FALLS LN
ROCKLIN CA
95765-6093
US

IV. Provider business mailing address

1541 RAPID FALLS LN
ROCKLIN CA
95765-6093
US

V. Phone/Fax

Practice location:
  • Phone: 951-643-9035
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMED UMER ABDUL WARIS
Title or Position: CHEIF EXECUTIVE OFFICER
Credential: MD
Phone: 951-643-9035