S. A. KASSAMALI MD INC NPI 1477886794

NPI Information

NPI: 1477886794
Provider Name: S. A. KASSAMALI MD INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
13561 GINGER GLEN RD
SAN DIEGO, CA
ZIP 92130
Phone: (858) 755-2970
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S. A. KASSAMALI MD INC is a primary care clinic center in San Diego, CA. S. A. KASSAMALI MD INC NPI is 1477886794. The provider is registered as an organization entity type.

The provider's business location address is:

13561 GINGER GLEN RD
SAN DIEGO, CA
ZIP 92130-913
Phone: (858) 755-2970

The provider's authorized official is Sultanali Amirali Kassamali .
The authorized official title is President Of Corporation and has the following contact phone number (858) 755-2970.

The enumeration date for this NPI number is 9/18/2009 and was last updated on 9/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A032525	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A26832	MEDICARE UPIN	CALIFORNIA
2	00A325250	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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