Individual provider Active NPI

Adel Aitali, DPM

  • Foot & Ankle Surgery Podiatrist
  • Davis, CA
National Provider Identifier
1720518129
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
EL6778 Issued in CA
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

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003003160 CA Practitioner - Podiatry 4587995626 Reassigns benefits to 2 organizations
Practice locations: Calexico, CA

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
Basso Podiatry Group IncGroup PAC ID 3577894682, 5 clinicians

Practice addresses (Care Compare)

635 Anderson Rd
Suite 19
Davis, CA 95616-3505
Phone (530) 758-1810

Hospital & facility affiliations

  • Sutter Davis Hospital Hospital, Davis, CA, CCN 050537

Merit-based Incentive Payment System (MIPS)

Final score
87.03 of 100Reported as individual
Quality
65.76
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue135
Removal of skin lesions1-10
Removal of nail tissue871
Removal or shaving of skin growth529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL6778CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Basso Podiatry Group, Inc Multi-Specialty CurrentSince Jul 31, 2019 Accepting new patients
Vascular Institute of Northern California, a Podiatry Corporation Multi-Specialty CurrentSince Sep 15, 2019 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

  • Direct secure messaging: aaitali457505@hisp.ehr.sutterhealth.org
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.