Ali Abdul Wahid, MD
Individual provider Active NPI Family Medicine Physician · Patterson, CA
NPI 1679767925 · NPPES record last updated Feb 23, 2026
Key facts
- NPI
- 1679767925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A106703 (CA)
- Practice address
- 1108 Ward Ave Ste 1
Patterson, CA 95363-8529 - Phone
- (209) 892-1300
- Fax
- (209) 780-4141
- NPI assigned
- Aug 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1108 Ward Ave
Patterson, CA 95363-8529
Phone (209) 892-1300
Hospital & facility affiliations
- Emanuel Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Wahid Medical Corporation |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 23, 2012 Jan 23, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101015000764 | CA | Practitioner - Family Practice |
0244316552 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD432706 | PA | MD | Family Medicine Physician |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wahid Medical Corporation | Family Medicine | Current |
Accepting new patients |
| A Wahid MD Inc a Professional Medical Corporation | Current |
Accepting new patients | |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Lumira Healthcare | Past | Accepting new patients | |
| Modesto Advanced Diagnostic Imaging Medical Center | Past | Accepting new patients | |
| Missouri Delta Medical Center | Family Medicine | Past | Accepting new patients |
Locations
1108 Ward Ave
Ste 1
Patterson, CA 95363
Phone (209) 892-1300
1108 Ward Ave
Bldg A
Patterson, CA 95363
Phone (209) 892-1300
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2007034473 | MO | |
| Family Medicine Physician | 207Q00000X | MD432706 | PA | |
| Family Medicine Physician | 207Q00000X | A106703 | CA | Yes |
Addresses
Primary practice location
1108 Ward Ave Ste 1
Patterson, CA 95363-8529
Mailing address
1108 Ward Ave Ste 1
Patterson, CA 95363-8529
Phone (209) 892-1300
Other providers in Patterson, CA
- A Wahid MD Inc a Professional Medical Corporation
- Alicia Marie Agundez
- Kent Walton Allen
- Maria Alicia Anaya
- Nicholas C Anderson
- Anthony Nguyen, OD Inc
All providers in Patterson, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.