NPIMap

Individual provider Active NPI

Mohsen Ibrahim Ali, MD

  • Neurology Physician
  • San Dimas, CA
National Provider Identifier
1750359071
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A33406 Issued in CA
Practice address
1330 W Covina Blvd
Suite 103
San Dimas, CA 91773-3200
Phone
(909) 592-2145
Fax
(909) 599-6217
NPI assigned
Mar 11, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A33406 CA Primary

Addresses

Primary practice location

1330 W Covina Blvd
Suite 103
San Dimas, CA 91773-3200

Mailing address

1330 W Covina Blvd
Suite 103
San Dimas, CA 91773-3200
Phone (909) 592-2145

Other identifiers 1

IdentifierTypeStateIssuer
00A334060MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081126000229 CA Practitioner - Neurology 3274428545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1310 San Bernardino Rd
Upland, CA 91786-4985
Phone (909) 608-2008

1330 W Covina Blvd
Suite 103
San Dimas, CA 91773-3200
Phone (909) 592-2145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33406CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Constant Hospice Care, Inc Current Accepting new patients
Parkside Medical Group Inc Neurology CurrentSince May 1, 2009 Accepting new patients
Emil Levin MD Inc Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Richard B Levin MD Inc Past Accepting new patients
Inland Center Medical Group, P.C. Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

8263 Grove Ave
Ste 203
Rch Cucamonga, CA 91730
Phone (909) 608-2008

1330 W Covina Blvd
Ste 103
San Dimas, CA 91773
Phone (909) 582-2145

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

1310 San Bernardino Rd
Ste 102
Upland, CA 91786
Phone (909) 608-2008

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Town Center Hospice CarePorter Ranch, CA, CCN A11704 Hospice Contracted Managing Employee
Operational/Managerial Control		 Nov 1, 2025
Nov 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750359071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W COVINA BLVD",
            "address_2": "SUITE 103",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733200",
            "telephone_number": "909-592-2145",
            "fax_number": "909-599-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W COVINA BLVD",
            "address_2": "SUITE 103",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733200",
            "telephone_number": "909-592-2145",
            "fax_number": "909-599-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MOHSEN",
        "middle_name": "IBRAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A33406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A334060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.