NPIMap

Organization Active NPI

Ali H. Mesiwala, M.D., a Medical Corporation

  • Neurological Surgery Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1396374682
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ALI H. MESIWALA, M.D., A MEDICAL CORPORATION
Practice address
9170 Haven Ave Ste 108
Rancho Cucamonga, CA 91730-5416
Phone
(909) 948-8754
Fax
(909) 948-8960
NPI assigned
Apr 7, 2020
Last updated
Apr 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Dr. Ali H. Mesiwala, MDNPI 1306814868
Title
President
Phone
(909) 948-8754

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

9170 Haven Ave Ste 108
Rancho Cucamonga, CA 91730-5416

Mailing address

PO Box 607
San Dimas, CA 91773-0607
Phone (909) 971-9334

National Provider Directory

National Provider Directory

Locations

9120 Haven Ave
#101A
Rancho Cucamonga, CA 91730

9120 Haven Ave
Ste 101A
Rancho Cucamonga, CA 91730

9170 Haven Ave
Ste 108
Rch Cucamonga, CA 91730
Phone (909) 881-6713

301 E Vanderbilt Way
Ste 100
San Bernardino, CA 92408
Phone (909) 567-2661

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1396374682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917730607",
            "telephone_number": "909-971-9334",
            "fax_number": "909-575-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9170 HAVEN AVE STE 108",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305416",
            "telephone_number": "909-948-8754",
            "fax_number": "909-948-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI H. MESIWALA, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "MESIWALA",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-948-8754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.