Healthcare Provider Details

I. General information

NPI: 1235064957
Provider Name (Legal Business Name): SABEEN AMIR AHMED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3880 S BASCOM AVE STE 216
SAN JOSE CA
95124-2675
US

IV. Provider business mailing address

3880 S BASCOM AVE STE 216
SAN JOSE CA
95124-2675
US

V. Phone/Fax

Practice location:
  • Phone: 530-290-1630
  • Fax: 530-551-0645
Mailing address:
  • Phone: 530-290-1630
  • Fax: 530-551-0645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: