Ayesha Amjad Ali, FNP-C, WHCNP

Key facts

NPI

1831593326

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

95001202 (CA)

Practice address

3645 W Shaw Ave Ste 101
Fresno, CA 93711-3206

Phone

(559) 457-6800

NPI assigned

Oct 14, 2014

Sex

Female

Sole proprietor

Yes

Organizations & group practices 9

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.

• Rolling Hills Clinic Federally Qualified Health Center (FQHC) · Red Bluff, CA · NPI 1679988950
  Medicare reassignment Care Compare group TX
• Cep America - California Emergency Medicine Physician · San Francisco, CA · NPI 1023063542
  Medicare reassignment NPD CA
• Cep America - California Emergency Medicine Physician · Santa Ana, CA · NPI 1548667843
  Medicare reassignment NPD CA
• Neighborhood Healthcare Federally Qualified Health Center (FQHC) · Escondido, CA · NPI 1598703647
  Medicare reassignment NPD CA
• Rolling Hills Clinic Federally Qualified Health Center (FQHC) · Corning, CA · NPI 1992012306
  Care Compare group
• Cep America - California Emergency Medicine Physician · Glendora, CA · NPI 1043684764
  NPD
• Cep America - California Emergency Medicine Physician · Santa Cruz, CA · NPI 1811274483
  NPD
• Cep America-California Emergency Medicine Physician · Murrieta, CA · NPI 1588552848
  NPD
• Neighborhood Healthcare Federally Qualified Health Center (FQHC) · Beaumont, CA · NPI 1629601653
  NPD

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health General Acute Care Hospital · Red Bluff, CA · NPI 1083732853
  Care Compare affiliation Hospital
• Dignity Health Rural Health Clinic/Center · Corning, CA · NPI 1609246461
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rolling Hills Clinic (13 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Elizabeth Community Hospital Hospital · Red Bluff, CA · CCN 050042

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in CA, TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ayesha.ali.1@17661.direct.athenahealth.com

Specialties & licenses

Addresses

Other names

• Ms. Ayesha Tasawar Hussain Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 23, 2021.

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1831593326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021559",
            "telephone_number": "661-635-3050",
            "fax_number": "661-326-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 W SHAW AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113206",
            "telephone_number": "559-457-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "AYESHA",
        "middle_name": "AMJAD",
        "name_prefix": "Ms.",
        "credential": "FNP-C, WHCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "236107",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYESHA",
            "last_name": "HUSSAIN",
            "middle_name": "TASAWAR",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Fresno, CA · Family Nurse Practitioner in California