Organization Active NPI

Mohsin Ali M.D. Inc.

  • Obstetrics Physician
  • Cerritos, CA
National Provider Identifier
1104094531
Registry record updated Mar 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A36319 Issued in CA
Legal business name
MOHSIN ALI M.D. INC.
Practice address
13233 Briarwood St
Cerritos, CA 90703-7384
Phone
(562) 865-0220
Fax
(562) 809-2050
NPI assigned
Feb 19, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Mohsin Ali, M.D.NPI 1811990708
Title
Owner
Phone
(562) 865-0220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080227000312 CA Part B Supplier - Clinic/Group Practice 4183708308 Receives reassigned benefits from 1 practitioner
Practice locations: Cerritos, CA

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X A36319 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

13233 Briarwood St
Cerritos, CA 90703-7384

Mailing address

13233 Briarwood St
Cerritos, CA 90703-7384
Phone (562) 865-0220

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00A363190MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2008.

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206230400000",
    "number": "1104094531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13233 BRIARWOOD ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037384",
            "telephone_number": "562-865-0220",
            "fax_number": "562-809-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13233 BRIARWOOD ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037384",
            "telephone_number": "562-865-0220",
            "fax_number": "562-809-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHSIN ALI M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-03-23",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MOHSIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-865-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A36319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A363190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.