Ali H Abughazaleh, DC
Individual provider Active NPI Chiropractor · Roseville, CA
NPI 1104852490 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1104852490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC29304 (CA)
- Practice address
- 1421 Secret Ravine Parkway
Suite 111
Roseville, CA 95661 - Phone
- (916) 784-7500
- Fax
- (916) 784-6319
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29304 | CA | MD | Marriage & Family Therapist |
| DC29304 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Rehabilitation Medical Associates Inc | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29304 | CA | Yes |
Addresses
Primary practice location
1421 Secret Ravine Parkway
Suite 111
Roseville, CA 95661
Mailing address
PO Box 685
Roseville, CA 95678-0685
Phone (916) 784-7500
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.