Mohsin M Ali, M.D.

Individual provider Active NPI Obstetrics Physician · Cerritos, CA

NPI 1811990708 · NPPES record last updated Aug 28, 2007

Key facts

NPI
1811990708
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics Physician 207VX0000X
License
A36319 (CA)
Practice address
13233 Briarwood St
Cerritos, CA 90703-7384
Phone
(562) 865-0220
Fax
(562) 809-2050
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20181210001159 CA Practitioner - Obstetrics/Gynecology 1658455878 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Memorial Medical Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Trigem Wellness MD Inc Past
since Jun 6, 2011
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X A36319 CA Yes

Addresses

Primary practice location

13233 Briarwood St
Cerritos, CA 90703-7384

Mailing address

13233 Briarwood St
Cerritos, CA 90703-7384
Phone (562) 865-0220

Other identifiers

IdentifierTypeStateIssuer
00A363190MedicaidCA

Other providers in Cerritos, CA

All providers in Cerritos, CA · Obstetrics Physician in California

Sources for this page

Verify at the official NPI Registry.