Ali Khademi


Address: 4145 Clares St, Suite A, Capitola, CA 95010-2053

Ali Khademi (NPI# 1427121037, PAC ID# 7416996715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1427121037
PAC ID by PECOS 7416996715
Professional Enrollment ID I20050426001465
Full Name Ali Khademi
Address 4145 Clares St
Suite A
Capitola
CA 95010-2053
Gender M
Credential DO
Graduation Year 1995
Primary Specialty OSTEOPATHIC MANIPULATIVE MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050194 WATSONVILLE COMMUNITY HOSPITAL
050242 DOMINICAN HOSPITAL

Other Locations

Address Phone Organization
4145 Clares St, Suite A, Capitola, CA 95010-2053

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 68%

Organization Information

Office Location

Street Address 4145 CLARES ST
SUITE A
City CAPITOLA
State CA
Zip 95010-2053

Physicians in the same zip code

Name Specialty Organization Address
Richard A Bernstein Physical Medicine and Rehabilitation 4170 Gross Rd Ext, Suite 6, Capitola, CA 95010-2054
Rahul Kumar Singh Optometry 2121 41st Ave, Suite 108, Capitola, CA 95010-2057
Gerard A Chambers Jr. Clinical Psychologist 2140 41st Ave, 200b, Capitola, CA 95010-2067
Lorie A Gearhart Psychiatry 820 Bay Ave, Suite 206, Capitola, CA 95010-2102
Ronald J Sager Psychiatry 820 Bay Ave, Suite 206, Capitola, CA 95010-2102
Jeanneanne M Ramacho-talley Qualified Audiologist 820 Bay Ave, Suite 210, Capitola, CA 95010-2103
Robert J Smith Chiropractic 831 Bay Ave, Suite 1b, Capitola, CA 95010-2105
Harvey J Markovitz Chiropractic 831 Bay Ave, Suite 1e, Capitola, CA 95010-2105
Marelle Yehuda Endocrinology Sutter Bay Medical Foundation 815 Bay Ave, Capitola, CA 95010-2106
Beth E Schatzman Registered Dietitian Or Nutrition Professional Sutter Bay Medical Foundation 815 Bay Ave, Capitola, CA 95010-2106
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Competitor

Search similar physicians

City CAPITOLA
Zip Code 95010
Specialty OSTEOPATHIC MANIPULATIVE MEDICINE
City + Specialty CAPITOLA + OSTEOPATHIC MANIPULATIVE MEDICINE

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Dataset Information

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.

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