Individual provider Active NPI

Ali Tabrizzi Tajlil, M.D.

  • Vascular Surgery Physician
  • Sacramento, CA
National Provider Identifier
1861579534
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A378470 Issued in CA
Practice address
3941 J St
Suite 370
Sacramento, CA 95819-3624
Phone
(916) 733-6890
Fax
(916) 733-6849
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A378470 CA Primary

Addresses

Primary practice location

3941 J St
Suite 370
Sacramento, CA 95819-3624

Mailing address

3941 J St
Suite 370
Sacramento, CA 95819-3628
Phone (916) 733-6890

Other identifiers 1

IdentifierTypeStateIssuer
00A378470MedicaidCA

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
I20120328000588 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 8224298260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3941 J St
Suite 370
Sacramento, CA 95819-3633
Phone (916) 733-6890

Hospital & facility affiliations

  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37847CAMDGeneral Practice Dentistry
A378470CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Tajlil MD Inc Vascular Surgery CurrentSince Jun 30, 1981 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

3941 J St
Ste 370
Sacramento, CA 95819
Phone (916) 229-8890

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1861579534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 J ST",
            "address_2": "SUITE 370",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193628",
            "telephone_number": "916-733-6890",
            "fax_number": "916-733-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 J ST",
            "address_2": "SUITE 370",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193624",
            "telephone_number": "916-733-6890",
            "fax_number": "916-733-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJLIL",
        "first_name": "ALI",
        "middle_name": "TABRIZZI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A378470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A378470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.