Individual provider Active NPI

Mohamed S Ali, M.D.

  • Internal Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1548395239
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A67534 Issued in CA
Practice address
10165 Foothill Blvd
#26
Rancho Cucamonga, CA 91730-0340
Phone
(909) 481-0800
NPI assigned
Feb 22, 2007
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 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 A67534 CA Primary

Addresses

Primary practice location

10165 Foothill Blvd
#26
Rancho Cucamonga, CA 91730-0340

Mailing address

10165 Foothill Blvd
#26
Rancho Cucamonga, CA 91730-0340
Phone (909) 481-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071211000473 CA Practitioner - Internal Medicine 0749379055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10165 Foothill Blvd
Suite 26
Rancho Cucamonga, CA 91730-0342
Phone (909) 481-0800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67534CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nile Orthopedic and Rehabilitation Association CurrentSince Feb 14, 2022 Accepting new patients

Locations

10165 Foothill Blvd
Ste 26
Rch Cucamonga, CA 91730
Phone (909) 233-7823

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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 2

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1548395239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10165 FOOTHILL BLVD",
            "address_2": "#26",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300340",
            "telephone_number": "909-481-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10165 FOOTHILL BLVD",
            "address_2": "#26",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300340",
            "telephone_number": "909-481-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MOHAMED",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A67534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.