NPIMap

Individual provider Active NPI

Ali Hassani, MD

  • Internal Medicine Physician
  • Vacaville, CA
National Provider Identifier
1487818373
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301093082 Issued in MI
Practice address
421 Nut Tree Rd
Vacaville, CA 95687-3508
Phone
(707) 624-7500
Fax
(707) 624-7501
NPI assigned
Jul 10, 2008
Last updated
Dec 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301093082 MI Primary

Addresses

Primary practice location

421 Nut Tree Rd
Vacaville, CA 95687-3508

Mailing address

421 Nut Tree Rd
Vacaville, CA 95687-3508
Phone (707) 624-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110922000113 CA Practitioner - Internal Medicine 7517138647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians

Practice addresses (Care Compare)

421 Nut Tree Rd
Vacaville, CA 95687-3508
Phone (707) 624-7500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301093082MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Health Medical Foundation Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Northbay Healthcare Group CurrentSince Jan 5, 2016 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Northbay Physicians Surgery Center LLC Past Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2470 Hilborn Rd
Ste 100
Fairfield, CA 94534
Phone (707) 646-4600

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

421 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 455-3000

101 Main St
Winters, CA 95694
Phone (530) 795-4123

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/

Organizations & group practices 4

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 6

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1487818373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873508",
            "telephone_number": "707-624-7500",
            "fax_number": "707-624-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873508",
            "telephone_number": "707-624-7500",
            "fax_number": "707-624-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSANI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301093082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.