Organization Active NPI

Alied Five Star Corporation

  • Physical Therapy Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1306032099
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT15373 Issued in CA
Legal business name
ALIED FIVE STAR CORPORATION
Practice address
7365 Carnelian St Ste 124
Rancho Cucamonga, CA 91730-1156
Phone
(909) 948-2080
NPI assigned
Sep 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Authorized official

Name
Suraiya Ahmed, PTNPI 1356419261
Title
Owner
Phone
(909) 948-2080

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT15373 CA Primary

Addresses

Primary practice location

7365 Carnelian St Ste 124
Rancho Cucamonga, CA 91730-1156

Mailing address

7365 Carnelian St Ste 124
Rancho Cucamonga, CA 91730-1156

Other names 1

  • Alied Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101206001072 CA Part B Supplier - Clinic/Group Practice 3971790783 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

7365 Carnelian St
Ste 124
Rch Cucamonga, CA 91730
Phone (909) 948-2080

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1306032099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 124",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 124",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301156",
            "telephone_number": "909-948-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIED FIVE STAR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SURAIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-948-2080",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT15373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alied Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.