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

Jibran A Ahmed

Individual provider Registered Nurse · NPI 1992311823

Jibran A Ahmed is a Nurse Practitioner in Newport Beach, California. Qualified in 2021, 5 years ago. Practices with Mindful Health Solutions a Professional Medical Corporation, a 55-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Washington.

Years since qualifying
5
Licensed in
CA, WA
In the registry since
2020
Specialties on file
4

Practice location Address checks out

4100 Newport Place Dr Ste 730
Newport Beach, CA 92660-1411
Phone: (206) 695-7600
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95020754 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95281954 (CA)
Registered Nurse Taxonomy 163W00000X · Licence RN60865339 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61172870 (WA)

Record details

NPI number1992311823
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2020
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing address4100 Newport Place Dr Ste 730, Newport Beach, CA 92660-1411

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mindful Health Solutions A Professional Medical Corporation — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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