Active NPI
Adel Aitali, DPM
- Foot & Ankle Surgery Podiatrist
- Davis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- EL6778
- Practice address
- 1712 Picasso Ave Ste C
Davis, CA 95618-0546 - Phone
- (530) 753-6280
- Fax
- (530) 753-6281
- NPI assigned
- Jun 18, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | EL6778 | CA | Primary |
Addresses
Primary practice location
1712 Picasso Ave Ste C
Davis, CA 95618-0546
Mailing address
635 Anderson Rd Ste 19
Davis, CA 95616-3505
Phone (530) 758-1810
Other practice location 1
635 Anderson Rd Ste 19
Davis, CA 95616-3505
Phone (530) 758-1810
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Western University of Health Sciences College of Dental Med, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
635 Anderson Rd
Suite 19
Davis, CA 95616-3505
Phone (530) 758-1810
Hospital & facility affiliations
- Sutter Davis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.03 of 100
- Quality
- 65.76
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 135 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 871 |
| Removal or shaving of skin growth | 529 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EL6778 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basso Podiatry Group, Inc | Multi-Specialty | Current | Accepting new patients |
| Vascular Institute of Northern California, a Podiatry Corporation | Multi-Specialty | Current | Accepting new patients |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients |
Locations
635 Anderson Rd
Ste 19
Davis, CA 95616
Phone (530) 424-9900
635 Anderson Rd
Ste 4
Davis, CA 95616
Phone (530) 758-1810
1712 Picasso Ave
Ste C
Davis, CA 95618
Phone (530) 750-3500
500 University Ave
Ste 250
Sacramento, CA 95825
Phone (916) 235-9100
7601 Hospital Dr
Ste 202
Sacramento, CA 95823
Phone (916) 423-2176
7501 Hospital Dr
Ste 303
Sacramento, CA 95823
Phone (916) 688-8008
500 University Ave
Ste 120
Sacramento, CA 95825
Phone (916) 922-3668
340 Taraval St
San Francisco, CA 94116
Phone (415) 681-2208
Interoperability endpoints
- aaitali457505@hisp.ehr.sutterhealth.org
- https://fhir4.healow.com/fhir/r4/AGFCCD
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular Surgery Physician
- Sacramento, CA
- NPI 1932691797
Multi-Specialty
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Davis, CA
- NPI 1770532608
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davis, CA
- NPI 1770532608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1720518129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 ANDERSON RD STE 19",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163505",
"telephone_number": "530-758-1810",
"fax_number": "530-758-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 PICASSO AVE STE C",
"city": "DAVIS",
"state": "CA",
"postal_code": "956180546",
"telephone_number": "530-753-6280",
"fax_number": "530-753-6281"
}
],
"practiceLocations": [
{
"address_1": "635 Anderson Rd Ste 19",
"address_purpose": "LOCATION",
"city": "Davis",
"state": "CA",
"postal_code": "956163505",
"country_code": "US",
"telephone_number": "530-758-1810",
"fax_number": "530-758-1896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AITALI",
"first_name": "ADEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-18",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "EL6778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.