Active NPI
Fatima Khalil Ali, MD
- Allergy & Immunology (Internal Medicine) Physician
- Sacramento, CA
National Provider Identifier
1093045023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- 11855
- Practice address
- 4860 Y St
Sacramento, CA 95817-2307 - Phone
- (916) 734-2737
- Fax
- (916) 734-5484
- NPI assigned
- Jan 14, 2010
- Last updated
- Jan 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 11855 | FL | Primary |
Addresses
Primary practice location
4860 Y St
Sacramento, CA 95817-2307
Mailing address
451 Health Sciences Drive
Suite 6510
Davis, CA 95616
Phone (530) 752-2884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11855 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1093045023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 HEALTH SCIENCES DRIVE",
"address_2": "SUITE 6510",
"city": "DAVIS",
"state": "CA",
"postal_code": "95616",
"telephone_number": "530-752-2884",
"fax_number": "530-754-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 Y ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-734-2737",
"fax_number": "916-734-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "FATIMA",
"middle_name": "KHALIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-14",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "FL",
"license": "11855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.