Active NPI
Ayesha Amjad Ali, FNP-C, WHCNP
- Family Nurse Practitioner
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95001202
- Practice address
- 3645 W Shaw Ave Ste 101
Fresno, CA 93711-3206 - Phone
- (559) 457-6800
- NPI assigned
- Oct 14, 2014
- Last updated
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 236107 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95001202 | CA | Primary |
Addresses
Primary practice location
3645 W Shaw Ave Ste 101
Fresno, CA 93711-3206
Mailing address
PO Box 1559
Bakersfield, CA 93302-1559
Phone (661) 635-3050
Other names 1
- Ms. Ayesha Tasawar Hussain
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2540 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Phone (530) 690-2778
740 Solano St
Corning, CA 96021-3352
Phone (530) 690-2827
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236107 | CA | MD | Women's Health Nurse Practitioner |
| 95001202 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
215 S Hickory St
Escondido, CA 92025
Phone (619) 354-3833
425 N Date St
Escondido, CA 92025
Phone (760) 737-2035
1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
4371 Latham St
#200
Riverside, CA 92501
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400
Interoperability endpoints
- ayesha.ali.1@17661.direct.athenahealth.com
Organizations & group practices 8
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.
-
dba Neighborhood Healthcare - Escondido
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1598703647
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
dba Neighborhood Healthcare - Beaumont
- Federally Qualified Health Center (FQHC)
- Beaumont, CA
- NPI 1629601653
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Elizabeth Community Hospital
- General Acute Care Hospital
- Red Bluff, CA
- NPI 1083732853
-
dba Dignity Health Solano Street Medical Clinic
- Rural Health Clinic/Center
- Corning, CA
- NPI 1609246461
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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"
}
]
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.