Najwan Noori Al Ani, MD

Individual provider Active NPI Family Medicine Physician · San Diego, CA

NPI 1275948473 · NPPES record last updated Jul 26, 2017

Key facts

NPI
1275948473
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
144974 (CA)
Practice address
5454 El Cajon Blvd
San Diego, CA 92115-3621
Phone
(619) 515-2381
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Centers of San Diego Inc (299 clinicians)

Practice addresses (Care Compare)

1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300

2325 Commercial St
Suite 1400
San Diego, CA 92113-1195
Phone (619) 515-2422

525 E Main St
El Cajon, CA 92020-4007
Phone (619) 515-2498

7592 Broadway
Lemon Grove, CA 91945-1604
Phone (619) 515-2550

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170828000274 CA Practitioner - Family Practice 5597037416 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
144974CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc Current
since Jul 17, 2017
Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Family Health Centers of San Diego Inc Current
since Jul 17, 2017
Accepting new patients

Locations

525 E Main St
El Cajon, CA 92020
Phone (619) 334-3787

5454 El Cajon Blvd
San Diego, CA 92115
Phone (619) 515-2381

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 144974 CA Yes

Addresses

Primary practice location

5454 El Cajon Blvd
San Diego, CA 92115-3621

Mailing address

425 E Bradley Ave
Apt.,#10
El Cajon, CA 92021-3069
Phone (619) 334-7394

Other providers in San Diego, CA

All providers in San Diego, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.