MEDICARE: AHMAD MOHAMED USSMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	122300000X	Dentist	110363	CA

General Provider Information

NPI Number	:	1972297067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMAD MOHAMED USSMAN

Provider Business Mailing Address
First Line	:	1824 ASTORIA BLVD
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-3728
Country	:	US
Telephone Number	:	347-459-5192
Fax Number	:

Provider Business Practice Location Address
First Line	:	236 S VINE ST
Second Line	:
City	:	PASO ROBLES
State	:	CA
Zip	:	93446-3704
Country	:	US
Telephone Number	:	347-451-5192
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2023
Last Update Date	:	09/09/2024

Similar Medicare Providers

1568070878 — JESSICA HERNANDEZ
Practice Location Address:

4232 LOMA TAURINA DR
EL PASO, TX
79934-3704

Practice Phone: 360-471-5011
Practice Fax:

1386147999 — JEANNIN COUNTS PA-C
Practice Location Address:

2800 RIVERSIDE AVE
PASO ROBLES, CA
93446-1311

Practice Phone: 805-238-7250
Practice Fax: 805-238-0165

1629552815 — LEANNE KENT PA-C
Practice Location Address:

500 FIRST ST
PASO ROBLES, CA
93446-3742

Practice Phone: 831-621-1449
Practice Fax:

1598621468 — RICHARD WILSON LENGKONG DDS
Practice Location Address:

1171 CRESTON RD STE AND108
PASO ROBLES, CA
93446-3031

Practice Phone: 805-434-6740
Practice Fax:

1407851710 — MRS. CAROLYN JEAN NATHAN RD, CDE
Practice Location Address:

1820 SERRA WAY
PASO ROBLES, CA
93446-5426

Practice Phone: 805-226-2009
Practice Fax:

1811993991 — MARY ANN AMBROSE MSN, FNP-C
Practice Location Address:

145 SHADOW CREEK LN
PASO ROBLES, CA
93446-1922

Practice Phone: 805-748-5663
Practice Fax:

Directions to “ AHMAD MOHAMED USSMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.