Ali a Heidari, DO, a Professional Corporation

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

20A6946 Issued in CA

Legal business name

ALI A HEIDARI, DO, A PROFESSIONAL CORPORATION

Practice address

843 E Foothill Blvd
Upland, CA 91786-4034

Phone

(909) 982-1002

NPI assigned

Jan 16, 2008

Organization subpart

No

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

Authorized official

Name

Ali A Heidari, DONPI 1962516351

Title

President

Phone

(909) 982-1002

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Ali Heidari, D.O.

  • Specialist
  • Upland, CA
  • NPI 1962516351

  CA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1326224692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 E FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864034",
            "telephone_number": "909-982-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 E FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864034",
            "telephone_number": "909-982-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI A HEIDARI, DO, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "HEIDARI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-982-1002",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "20A6946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST LICENSE",
            "identifier": "20A6946",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Cheah, MD PC
• Felicia Sharee Alexander
• Alexius Hospice Care,Inc.
• Reme Algarin
• Diya Alhayek, RN
• Ali Abidali DO Professional Medical Corporation
• Ali Alktaifi MD Inc
• Ali Badday MD a Professional Corporation
• Asif Ali, PHARM.D.
• Align Medicine Inc

• All providers in Upland, CA
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.