Individual provider Active NPI

Syed Omar Ali, M.D.

  • Dermatology Physician
  • West Hills, CA
National Provider Identifier
1821165143
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C197728 Issued in CA
Practice address
7345 Medical Center Dr Ste 310
West Hills, CA 91307-1961
Phone
(818) 884-8044
Fax
(818) 884-8196
NPI assigned
Nov 30, 2006
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 056951 GA
Dermatology Physician 207N00000X N9338 TX
Dermatology Physician 207N00000X C197728 CA Primary
Procedural Dermatology Physician 207NS0135X 056951 GA
Procedural Dermatology Physician 207NS0135X C197728 CA

Addresses

Primary practice location

7345 Medical Center Dr Ste 310
West Hills, CA 91307-1961

Mailing address

7345 Medical Center Dr Ste 310
West Hills, CA 91307-1961
Phone (818) 884-8044

Other identifiers 2

IdentifierTypeStateIssuer
179353931MedicaidGA
DC4061OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120815000148 TX Practitioner - Dermatology 6800992348 Reassigns benefits to 2 organizations
I20250121000481 CA Practitioner - Dermatology 6800992348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Chicago, Pritzker School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Beauty Center IncGroup PAC ID 8628170347, 34 clinicians

Practice addresses (Care Compare)

9535 Reseda Blvd
Suite 304
Northridge, CA 91324-6029
Phone (818) 886-3884

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions431
Removal of skin cancer1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N9338TXMDDermatology Physician
C197728CAMDProcedural Dermatology Physician
056951GAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology CurrentSince May 1, 2024 Accepting new patients
Skin and Beauty Center Inc Dermatology CurrentSince Feb 3, 2025 Accepting new patients
Northridge Dermatology Associates Medical Group Inc Dermatology Current Accepting new patients
North Clark Medical Group LLC CurrentSince Apr 1, 2021 Accepting new patients
Acclaim Dermatology LLC CurrentSince Jan 1, 2016 Accepting new patients
Skin and Beauty Center (SBC), Inc. Dermatology Past Accepting new patients
Blair S Kranson M D Inc Dermatology PastSince Jul 8, 2010 Accepting new patients

Locations

191 S Buena Vista St
Ste 475
Burbank, CA 91505
Phone (818) 322-0126

9535 Reseda Blvd
Ste 304
Northridge, CA 91324
Phone (818) 886-3884

7320 Woodlake Ave
Ste 395
West Hills, CA 91307
Phone (818) 347-0681

7345 Medical Center Dr
Ste 310
West Hills, CA 91307
Phone (818) 884-8044

2100 Market St
Ste 101
Charlestown, IN 47111
Phone (812) 503-5100

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

2717 Commercial Center Blvd
Ste E170
Katy, TX 77494

17510 W Grand Pkwy S
Ste 385
Sugar Land, TX 77479
Phone (832) 342-9700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1821165143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR STE 310",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071961",
            "telephone_number": "818-884-8044",
            "fax_number": "818-884-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR STE 310",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071961",
            "telephone_number": "818-884-8044",
            "fax_number": "818-884-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SYED",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "056951",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N9338",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C197728",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "GA",
            "license": "056951",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "C197728",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179353931",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC4061",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.