NPIMap

Organization Active NPI

Cal City Clinic

  • Rural Health Clinic/Center
  • California City, CA
National Provider Identifier
1942578943
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
G78625 Issued in CA
Legal business name
CAL CITY CLINIC
Practice address
9300 N Loop Blvd Ste a&B
California City, CA 93505-2269
Phone
(760) 373-1256
Fax
(760) 373-1214
NPI assigned
Dec 5, 2011
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Mr. Ashmead Ali, MDNPI 1215009113
Title
Owner
Phone
(661) 547-3906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X G78625 CA Primary

Addresses

Primary practice location

9300 N Loop Blvd Ste a&B
California City, CA 93505-2269

Mailing address

41019 Woodshire Dr
Palmdale, CA 93551-5746
Phone (661) 547-3906

Other identifiers 2

IdentifierTypeStateIssuer
RHM18534GMedicaidCA
1093898454MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Ashmead Ali4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9300 N Loop Blvd
Ste Ab
California City, CA 93505
Phone (760) 373-1246

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1942578943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41019 WOODSHIRE DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515746",
            "telephone_number": "661-547-3906",
            "fax_number": "661-622-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 N LOOP BLVD STE A&B",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935052269",
            "telephone_number": "760-373-1256",
            "fax_number": "760-373-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAL CITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ASHMEAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-547-3906",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "G78625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM18534G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093898454",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in California City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.