TAREQ A ALI MD APC NPI 1588919716

NPI Information

  • NPI: 1588919716
  • Provider Name: TAREQ A ALI MD APC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1520 W KETTLEMAN LN STE B
    LODI, CA
    ZIP 95242
  • Phone: (209) 339-3797

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NPI Details

TAREQ A ALI MD APC is a family medicine in Lodi, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TAREQ A ALI MD APC NPI is 1588919716. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1520 W KETTLEMAN LN STE B
LODI, CA
ZIP 95242-290
Phone: (209) 339-3797
Fax: (209) 339-3795

The provider's authorized official is Tareq A Ali .
The authorized official title is President Of Corporation and has the following contact phone number 20933393797.

The enumeration date for this NPI number is 7/13/2012 and was last updated on 7/13/2012.

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
1207Q00000XFamily MedicineA51048CALIFORNIAYes

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
100A510480MEDICARE PINCALIFORNIA
2F49243MEDICARE UPINCALIFORNIA

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: 11/21/2025

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