Individual provider Active NPI

Noor Azreen Binti Ali, MD

  • Family Medicine Physician
  • Alameda, CA
National Provider Identifier
1891042958
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C170320 Issued in CA
Practice address
2433 Central Ave Ste a
Alameda, CA 94501-4564
Phone
(510) 521-2300
NPI assigned
Aug 8, 2012
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C170320 CA Primary

Addresses

Primary practice location

2433 Central Ave Ste a
Alameda, CA 94501-4564

Mailing address

2433 Central Ave Ste a
Alameda, CA 94501-4564
Phone (510) 521-2300

Other practice location 1

5800 Hollis St
Emeryville, CA 94608-2016
Phone (510) 806-2100

Other practice location 2

15214 Canyon Rd E Ste 100
Puyallup, WA 98375-7472
Phone (253) 539-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, 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
I20210504002314 HI Practitioner - Family Practice 9335371491 Reassigns benefits to 1 organization
I20211216002711 CA Practitioner - Family Practice 9335371491 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C170320CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital Family Medicine CurrentSince May 17, 2021 Accepting new patients
University Healthcare Alliance CurrentSince Dec 1, 2021 Accepting new patients
North Hawaii Community Hospital, Inc. CurrentSince May 17, 2021 Accepting new patients
Stanford Health Care CurrentSince Dec 1, 2021 Accepting new patients
Stanford Health Care CurrentSince Dec 1, 2021 Accepting new patients

Locations

2433 Central Ave
Ste A
Alameda, CA 94501
Phone (510) 521-2300

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

5800 Hollis St
Emeryville, CA 94608
Phone (510) 806-2100

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

5568 Gibraltar Dr
Pleasanton, CA 94588
Phone (925) 534-6500

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

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, 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": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1891042958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 CENTRAL AVE STE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014564",
            "telephone_number": "510-521-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 CENTRAL AVE STE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014564",
            "telephone_number": "510-521-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 Hollis St",
            "address_purpose": "LOCATION",
            "city": "Emeryville",
            "state": "CA",
            "postal_code": "946082016",
            "country_code": "US",
            "telephone_number": "510-806-2100",
            "fax_number": "510-806-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15214 Canyon Rd E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983757472",
            "country_code": "US",
            "telephone_number": "253-539-4200",
            "fax_number": "253-539-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "NOOR AZREEN",
        "middle_name": "BINTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C170320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.