Individual provider Active NPI

Ashmead Ali, MD

  • Internal Medicine Physician
  • California City, CA
National Provider Identifier
1215009113
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G78625 Issued in CA
Practice address
9300 N Loop Blvd
Suite a & B
California City, CA 93505-2269
Phone
(760) 373-1256
Fax
(760) 373-1214
NPI assigned
Nov 15, 2006
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G78625 CA Primary

Addresses

Primary practice location

9300 N Loop Blvd
Suite a & B
California City, CA 93505-2269

Mailing address

41019 Woodshire Dr
Palmdale, CA 93551-5746
Phone (760) 373-1256

Other identifiers 1

IdentifierTypeStateIssuer
RHM18534GMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050525000671 CA Practitioner - Family PracticePractitioner - Internal Medicine 2860434313 Reassigns benefits to 1 organization
O20080318000871 CA Part A Provider - Rural Health Clinic 0749366615 Practice locations: California City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215009113. Details of each certification follow.

Rural health clinic certification: CCN 553894

Legal name
ASHMEAD ALI
Doing business as
CAL CITY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 8, 1997
Last certification
Sep 2, 2015
Ownership / control type
2A
Organization structure
Sole ProprietorProprietary
Enrollment address
9300 N Loop Blvd
Suite a & B
California City, CA 93505-2269

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Howard University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

44725 10TH St W
Suite 210
Lancaster, CA 93534-3048
Phone (661) 948-6011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G78625CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sivalingam Medical Corporation Inc Internal Medicine Current Accepting new patients
Sivalingam Medical Corporation, Inc. Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Bakersfield Family Medical Group Inc Internal Medicine Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Emergency Medical Services Group Past Accepting new patients
Wayne J Hodges Chiropractic a Professional Corporation Past Accepting new patients

Locations

21007 Nemophilia St
#B
California City, CA 93505
Phone (760) 373-1256

44725 10th St W
Ste 170
Lancaster, CA 93534
Phone (661) 726-3724

44725 10th St W
Ste 210
Lancaster, CA 93534
Phone (661) 726-3058

1535 N China Lake Blvd
Ste A
Ridgecrest, CA 93555
Phone (760) 446-1691

1415 W Rosamond Blvd
Ste 24
Rosamond, CA 93560
Phone (661) 256-1866

Interoperability endpoints

  • Direct secure messaging: ashmead.ali.1@23708.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23708/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ashmead Ali Individual 5% Or Greater Direct Ownership InterestOwner Jan 9, 2008
Corporate OfficerCeo Oct 1, 1997
Operational/Managerial Control Oct 1, 1997
Haneefa Ali Individual W-2 Managing EmployeeAdministrator/Manager Oct 1, 2010

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1215009113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41019 WOODSHIRE DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515746",
            "telephone_number": "760-373-1256",
            "fax_number": "760-373-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 N LOOP BLVD",
            "address_2": "SUITE A & B",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935052269",
            "telephone_number": "760-373-1256",
            "fax_number": "760-373-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "ASHMEAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G78625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM18534G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in California City, CA

Sources for this page

Verify at the official NPI Registry.