Organization Active NPI

Mohamed Ikbal Ali

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1487165338
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40054 Issued in CA
Legal business name
MOHAMED IKBAL ALI
Practice address
450 Sutter St RM 1905
San Francisco, CA 94108-4103
Phone
(415) 391-7751
Fax
(415) 391-7357
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Maricar Franco
Title
Office Manager
Phone
(415) 391-7751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 40054 CA Primary

Addresses

Primary practice location

450 Sutter St RM 1905
San Francisco, CA 94108-4103

Mailing address

450 Sutter St RM 1905
San Francisco, CA 94108-4103
Phone (415) 391-7751

Other identifiers 1

IdentifierTypeStateIssuer
40054OtherCADENTAL BOARD OF CALIFORNIA

National Provider Directory

National Provider Directory

Locations

450 Sutter St
Rm 1905
San Francisco, CA 94108
Phone (415) 391-7751

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": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1487165338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1905",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084103",
            "telephone_number": "415-391-7751",
            "fax_number": "415-391-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1905",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084103",
            "telephone_number": "415-391-7751",
            "fax_number": "415-391-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED IKBAL ALI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "MARICAR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-391-7751"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "40054",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.