Active NPI
Mohamed Ikbal Ali
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1487165338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 40054
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40054 | Other | CA | DENTAL BOARD OF CALIFORNIA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- San Francisco, CA
- NPI 1679711865
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.