| Tareq A Ali Md Apc | |
|
1520 W Kettleman Ln Ste B Lodi CA 95242-9290 | |
| (209) 339-3797 | |
| (209) 339-3795 |
| Full Name | Tareq A Ali Md Apc |
|---|---|
| Speciality | Family Medicine |
| Location | 1520 W Kettleman Ln Ste B, Lodi, California |
| Authorized Official Name and Position | Tareq A Ali (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 20933393797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tareq A Ali Md Apc 1520 W Kettleman Ln Ste B Lodi CA 95242-9290 Ph: (209) 339-3797 | Tareq A Ali Md Apc 1520 W Kettleman Ln Ste B Lodi CA 95242-9290 Ph: (209) 339-3797 |
| NPI Number | 1588919716 |
|---|---|
| Provider Enumeration Date | 07/13/2012 |
| Last Update Date | 07/13/2012 |
| Medicare PECOS PAC ID | 1658520689 |
|---|---|
| Medicare Enrollment ID | O20121005000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588919716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A51048 (California) | Primary |
| Provider Name | Tareq A Ali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790722718 PECOS PAC ID: 5991771172 Enrollment ID: I20040908001567 |
| Provider Name | Ryan E Vaccarezza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982037040 PECOS PAC ID: 8224266440 Enrollment ID: I20140116000011 |
Lodi Memorial Community Clinic-alder Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 W Vine St, Suite A, Lodi, CA 95242 Phone: 209-334-3411 Fax: 209-339-7659 | |
Lodi Ave Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 W Lodi Ave, Ste P, Lodi, CA 95242 Phone: 209-366-1990 | |
James S. Hoff, M.d., A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 S Fairmont Ave, Suite 135, Lodi, CA 95240 Phone: 209-224-5719 Fax: 209-691-9521 | |
Cmc, Lodi Vine Family Care, Suite 105 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2415 W Vine St Ste 105, Lodi, CA 95242 Phone: 209-333-3121 | |
Fairmont Ave Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave, #130/135, Lodi, CA 95240 Phone: 209-366-2001 | |
Lodi Memorial Urgent Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St Ste 20, Lodi, CA 95240 Phone: 209-339-7625 Fax: 209-339-7659 | |
Inpatient Services Of California, Inc., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 S. Fairmont Ave, Lodi, CA 95240 Phone: 214-712-2400 |