Tayyeba Kanwal Ali, M.D.
Individual provider Active NPI Ophthalmology Physician · Sunnyvale, CA
NPI 1891947925 · NPPES record last updated Mar 4, 2020
Key facts
- NPI
- 1891947925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- C150277 (CA)
- Practice address
- 1085 W El Camino Real
Sunnyvale, CA 94087-1030 - Phone
- (408) 524-5900
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 32
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Emory University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sutter Bay Medical Foundation
Practice addresses (Care Compare)
1085 W El Camino Real
Sunnyvale, CA 94087-1030
Phone (408) 524-5900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180125000955 | CA | Practitioner - Ophthalmology | 0244475770 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C150277 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current |
Accepting new patients | |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| County of Santa Clara | Current |
Accepting new patients | |
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Ophthalmology | Current |
Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Permanente Medical Group Inc | Ophthalmology | Current | Accepting new patients |
| University of Miami | Past | Accepting new patients | |
| University of Miami Hospital and Clinics | Past | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients | |
| Cedars Healthcare Group, LTD. | Past | Accepting new patients | |
| Public Health Trust of Miami Dade County Florida | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| University of Arkansas for Medical Sciences | Past | Accepting new patients |
Locations (25 of 29)
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
750 S Bascom Ave
#1112
San Jose, CA 95128
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
700 Lawrence Expy
#490
Santa Clara, CA 95051
700 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 851-5300
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
Interoperability endpoints
- tali536832@hisp.ehr.sutterhealth.org
- tali231555@santaclaravalley.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | C150277 | CA | Yes |
Addresses
Primary practice location
1085 W El Camino Real
Sunnyvale, CA 94087-1030
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (408) 524-5900
Other names
- Miss Tayyeba Kanwal Ahmad
Other providers in Sunnyvale, CA
- Al111 Investments, LLC
- Naveen Alam
- Geraldine Eunice Rios Albini
- Noelle Marie Alcazar
- Syed Salman Ali
- Andrea Alioto
- Roxana Alizadeh
- Wafa Aljuneidi
- Patti Allen
- Alliance Acupuncture & Wellness, PC
All providers in Sunnyvale, CA · Ophthalmology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.