Tareq A Ali (NPI# 1790722718, PAC ID# 5991771172) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790722718 |
| PAC ID by PECOS | 5991771172 |
| Professional Enrollment ID | I20040908001567 |
| Full Name | Tareq A Ali |
| Address |
1520 W Kettleman Ln B Lodi CA 95242-9290 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050336 | ADVENTIST HEALTH LODI MEMORIAL |
| 051325 | MENDOCINO COAST DISTRICT HOSPITAL |
| 051332 | MARK TWAIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 River Dr, Fort Bragg, CA 95437-5403 | 7079611234 | GLASS BEACH MEDICAL SERVICES A MEDICAL CORPORATION |
| 1520 W Kettleman Ln B, Lodi, CA 95242-9290 | ||
| 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2097543521 | INPATIENT SERVICES OF CALIFORNIA A MEDICAL CORPORATION |
| 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | YOSEMITE VALLEY MEDICAL SERVICES, A MEDICAL CORPORATION | |
| 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 9516771111 | INPATIENT SERVICES OF CALIFORNIA A MEDICAL CORPORATION |
| Street Address |
1520 W KETTLEMAN LN B |
| City | LODI |
| State | CA |
| Zip | 95242-9290 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Germaine N Burke | Optometry | Burke Optometry, Inc.. | 441 S Ham Lane, Suite B, Lodi, CA 95242 |
| James R Wilson | Chiropractic | 2000 W Kettleman Lane, Suite 104, Lodi, CA 95242 | |
| Harmanjeet C Dhaliwal | Pain Management | 777 S Ham Lane, Suite F, Lodi, CA 95242 | |
| Richard S Forman | Anesthesiology | 521 E Ham Lane F, Lodi, CA 95242 | |
| Jerome A Burke | Optometry | Burke Optometry, Inc.. | 441 S Ham Lane, Suite B, Lodi, CA 95242 |
| Camille A Clarke | Family Medicine | Community Medical Centers Inc | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2191 |
| Maribel A Arroyo | Clinical Social Worker | Community Medical Centers Inc | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2191 |
| Farzana N Ali | Family Medicine | Community Medical Centers Inc | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2191 |
| Jussein Rigor Mangondato | Pediatric Medicine | Community Medical Centers, Inc | 2401 W Turner Rd, Lodi, CA 95242-2191 |
| Eliza R Downs | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 2401 W Turner Rd, 250 Central Valley Phy Ther, Lodi, CA 95242-2192 |
| Find all physicians in zip 95242 | |||
| City | LODI |
| Zip Code | 95242 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LODI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tareq A Ali.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.