Samia Ali, DDS
Individual provider Active NPI Dentist · Downey, CA
NPI 1508958794 · NPPES record last updated Mar 14, 2011
Key facts
- NPI
- 1508958794
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 54569 (CA)
- Practice address
- 11411 Brookshire Ave
Suite 405
Downey, CA 90241-5026 - Phone
- (314) 941-8029
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omar & Yusuf Dental Corp | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 54569 | CA | Yes |
Addresses
Primary practice location
11411 Brookshire Ave
Suite 405
Downey, CA 90241-5026
Mailing address
11411 Brookshire Ave
Suite 405
Downey, CA 90241-5026
Phone (314) 941-8029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54569 | Other | CA | CA DENTAL LICENCE # |
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.