Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ahmed Al-Waisi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871115709

Ahmed Al-Waisi is an Internal Medicine in Upland, California. Qualified in 2007, 19 years ago. Practices with Elite Medical Group of Southern California, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

999 San Bernardino Rd
Upland, CA 91786-4920
Phone: (909) 985-2811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2101 N Waterman Ave, San Bernardino, CA 92404-4836 — (909) 883-8711
  • 1805 Medical Center Dr, San Bernardino, CA 92411-1217 — (909) 887-6333

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A183713 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871115709
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2020
Last updated in NPPESMarch 23, 2024
Certification dateMarch 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Elite Medical Group Of Southern California — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Upland