Organization Active NPI

Ali Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Simi Valley, CA
National Provider Identifier
1609594688
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALI MEDICAL SUPPLY INC
Doing business as
Ali Medical Supply INC
Practice address
940 Enchanted Way Ste 106
Simi Valley, CA 93065-0907
Phone
(805) 422-8135
Fax
(805) 422-8285
NPI assigned
Aug 16, 2022
Last updated
Aug 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Alishan Bhola
Title
Owner
Phone
(805) 422-8135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

940 Enchanted Way Ste 106
Simi Valley, CA 93065-0907

Mailing address

940 Enchanted Way Ste 106
Simi Valley, CA 93065-0907
Phone (805) 422-8135

Other names 1

  • Ali Medical Supply INC Doing business as

National Provider Directory

National Provider Directory

Locations

940 Enchanted Way
Ste 106
Simi Valley, CA 93065
Phone (805) 422-8135

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1609594688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 ENCHANTED WAY STE 106",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650907",
            "telephone_number": "805-422-8135",
            "fax_number": "805-422-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 ENCHANTED WAY STE 106",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650907",
            "telephone_number": "805-422-8135",
            "fax_number": "805-422-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "BHOLA",
        "authorized_official_first_name": "ALISHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-422-8135"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ali Medical Supply INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.