Organization Active NPI

Ali Abidali DO Professional Medical Corporation

  • Surgery Physician
  • Upland, CA
National Provider Identifier
1689451114
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Ali Abidali, DONPI 1861888794
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)CodeLicenseStatePrimary
Transplant Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204F00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231127001992 CA Part B Supplier - Clinic/Group Practice 9638527989 Receives reassigned benefits from 3 practitioners
Practice locations: Glendora, CA; Pomona, CA; Upland, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.