Active NPI
Tabassum Ali, D.C.
- Sports Physician Chiropractor
- Lakewood, CA
National Provider Identifier
1316287642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 32556
- Practice address
- 4117 South St
Lakewood, CA 90712-1043 - Phone
- (714) 734-8654
- NPI assigned
- Feb 23, 2013
- Last updated
- Jan 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 32556 | CA | Primary |
Addresses
Primary practice location
4117 South St
Lakewood, CA 90712-1043
Mailing address
234 6TH St
Apt 2
Seal Beach, CA 90740-6164
Phone (972) 693-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32556 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420588800000",
"number": "1316287642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 6TH ST",
"address_2": "APT 2",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907406164",
"telephone_number": "972-693-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4117 SOUTH ST",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121043",
"telephone_number": "714-734-8654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "TABASSUM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-23",
"last_updated": "2015-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "32556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.