Individual provider Active NPI

Sara Ali, M.D.

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1801321443
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A169641 Issued in CA
Practice address
1570 The Alameda Ste 221
San Jose, CA 95126-2333
Phone
(408) 295-8111
NPI assigned
Apr 20, 2017
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A169641 CA Primary

Addresses

Primary practice location

1570 The Alameda Ste 221
San Jose, CA 95126-2333

Mailing address

1570 The Alameda Ste 221
San Jose, CA 95126-2333
Phone (408) 295-8111

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927001928 CA Practitioner - Psychiatry 6204107709 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A169641CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Jul 22, 2024 Accepting new patients

Locations

39899 Balentine Dr
Ste 200
Newark, CA 94560
Phone (510) 270-8171

1550 The Alameda
Ste 105
San Jose, CA 95126
Phone (408) 295-8111

1570 The Alameda
Ste 221
San Jose, CA 95126
Phone (408) 295-8111

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

Interoperability endpoints

  • Direct secure messaging: sali566406@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1801321443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 THE ALAMEDA STE 221",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262333",
            "telephone_number": "408-295-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 THE ALAMEDA STE 221",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262333",
            "telephone_number": "408-295-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A169641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.