Individual provider Active NPI

Ali Ahmadzai, NP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1922829472
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032371 Issued in CA
Practice address
6555 Mount Ada Rd Unit 126
San Diego, CA 92111-3151
Phone
(909) 576-3419
NPI assigned
Oct 17, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95032371 CA Primary

Addresses

Primary practice location

6555 Mount Ada Rd Unit 126
San Diego, CA 92111-3151

Mailing address

6555 Mount Ada Rd Unit 126
San Diego, CA 92111-3151
Phone (909) 576-3419

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429002054 CA Practitioner - Nurse Practitioner 5698291094 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Del Sur Healthcare CurrentSince May 1, 2025 Accepting new patients
Rakhesh Guttikonda Medical Inc Past Accepting new patients

Locations

436 S Magnolia Ave
Ste 203
El Cajon, CA 92020
Phone (619) 354-4694

436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596

Organizations & group practices 3

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1922829472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 MOUNT ADA RD UNIT 126",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113151",
            "telephone_number": "909-576-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 MOUNT ADA RD UNIT 126",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113151",
            "telephone_number": "909-576-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADZAI",
        "first_name": "ALI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.