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

Dr. Omar Ahmed, MD

Individual provider Plastic Surgery Physician · NPI 1104970540

Dr. Omar Ahmed, MD is a Plastic and Reconstructive Surgery in Pasadena, California. Qualified in 1999, 27 years ago. Practices with Premiere Plastic Surgery Inc, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
27
Licensed in
CA, GA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1044 S Fair Oaks Ave Ste 110
Pasadena, CA 91105-2622
Phone: (915) 497-6534
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7117 Brockton Ave, Riverside, CA 92506-2658 — (951) 782-3642

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A110375 (CA)
Plastic Surgery Physician Taxonomy 208200000X · Licence 060344 (GA)
Surgery of the Hand (Surgery) Physician Taxonomy 2086S0105X · Licence A110375 (CA)

Record details

NPI number1104970540
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 23, 2007
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024
Mailing address1044 S Fair Oaks Ave, Suite 110, Pasadena, CA 91105-2622

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesHAND SURGERY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Premiere Plastic Surgery Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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