Active NPI
Ali Abidali DO Professional Medical Corporation
- Surgery Physician
- Upland, CA
National Provider Identifier
1689451114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ALI ABIDALI DO PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 400 N Mountain Ave Ste 215
Upland, CA 91786-5182 - Phone
- (909) 757-8425
- Fax
- (909) 757-8392
- NPI assigned
- Sep 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ali Abidali, DO
- Title
- Ceo
- Phone
- (480) 251-5441
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | |||
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
400 N Mountain Ave Ste 215
Upland, CA 91786-5182
Mailing address
154A W Foothill Blvd # 372
Upland, CA 91786-3847
Other names 1
- California Surgical Specialists
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
500 N Euclid Ave
Upland, CA 91786
Phone (909) 757-8425
400 N Mountain Ave
Ste 215
Upland, CA 91786
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Pomona, CA
- NPI 1427476894
-
- Surgery Physician
- Glendora, CA
- NPI 1871857672
-
- Surgery Physician
- Glendora, CA
- NPI 1316407158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1689451114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154A W FOOTHILL BLVD # 372",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MOUNTAIN AVE STE 215",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865182",
"telephone_number": "909-757-8425",
"fax_number": "909-757-8392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALI ABIDALI DO PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-08",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "ABIDALI",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-251-5441",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Transplant Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "California Surgical Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.