Individual provider Active NPI

Altaf Lutfe Ali, M.D.

  • Interventional Cardiology Physician
  • Chino, CA
National Provider Identifier
1376722736
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A42679 Issued in CA
Practice address
5365 Walnut Ave
Ste. L
Chino, CA 91710-2622
Phone
(909) 591-7395
Fax
(909) 591-5097
NPI assigned
Nov 1, 2007
Last updated
Nov 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A42679 CA
Interventional Cardiology Physician 207RI0011X A42679 CA Primary

Addresses

Primary practice location

5365 Walnut Ave
Ste. L
Chino, CA 91710-2622

Mailing address

5365 Walnut Ave
Ste. L
Chino, CA 91710-2622
Phone (909) 591-7395

Other identifiers 1

IdentifierTypeStateIssuer
00A426791MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080519000346 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5799854683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5365 Walnut Ave
Suite H
Chino, CA 91710-2622

5365 Walnut Ave H
Chino, CA 91710-2622
Phone (909) 591-7395

5451 Walnut Ave
Chino, CA 91710-2609
Phone (909) 591-7395

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A42679CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altaf L Ali MD Inc Cardiovascular Disease CurrentSince May 19, 2008 Accepting new patients
Sach Physician Billing Trust Cardiovascular Disease CurrentSince Jan 1, 2008 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients

Locations

5365 Walnut Ave
Ste H
Chino, CA 91710
Phone (909) 591-0814

5365 Walnut Ave
Ste L
Chino, CA 91710
Phone (909) 591-7395

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

8816 Foothill Blvd
Ste 322
Rch Cucamonga, CA 91730

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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 2

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1376722736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 WALNUT AVE",
            "address_2": "STE. L",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102622",
            "telephone_number": "909-591-7395",
            "fax_number": "909-591-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 WALNUT AVE",
            "address_2": "STE. L",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102622",
            "telephone_number": "909-591-7395",
            "fax_number": "909-591-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "ALTAF",
        "middle_name": "LUTFE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A42679",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A42679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A426791",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.