Amani Ali
Individual provider Active NPI Community Health Worker · Stockton, CA
NPI 1760040232 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1760040232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 4545 Georgetown PL Ste D
Stockton, CA 95207-6229 - Phone
- (209) 269-5587
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Technician | 106S00000X | CA | ||
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
4545 Georgetown PL Ste D
Stockton, CA 95207-6229
Mailing address
4545 Georgetown PL Ste D
Stockton, CA 95207-6229
Phone (209) 269-5587
Other providers in Stockton, CA
- Breanna Dawnelle Alger
- Issam Hussein Alhakim
- Kaisar Ali Alhakim
- Abdelmajed Ali
- Akeel Ali
- Amina Ali
- Ashim Haydar Ali
- Ashiyana Ali
- Mahboob Ali
- Syed S Ali
All providers in Stockton, CA · Community Health Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.