DR. RUSTOM ALI PHD
NPI 1790190155
Nutritionist - Nutrition, Education in Lake Havasu City, AZ

Active since June 24, 2014
1968 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403(480) 703-4227 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rustom Ali Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUSTOM ALI PHD (NPI 1790190155) is an individual nutrition, education provider in Lake Havasu City, Arizona, licensed in Arizona (778154) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1790190155
Entity TypeIndividualMale
Primary Taxonomy133NN1002X
Provider Legal NameDR. RUSTOM ALICredential: PHD
Location Address1968 MESQUITE AVELake Havasu City, AZ 86403-5729
Mailing Address1968 Mesquite AveLake Havasu City, AZ 86403-5729 · (480) 703-4227
Sole ProprietorNo
Enumeration DateJune 24, 2014
NPI 1790190155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
License Licensed in AZ · 778154
Also ListedHealth EducatorTaxonomy 174H00000X · License 778154 (AZ)
1968 MESQUITE AVE, Lake Havasu City, AZ 86403

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health Educator
1968 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rustom Ali's NPI number?

The NPI number for Rustom Ali is 1790190155. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Rustom Ali located?

Rustom Ali practices at 1968 Mesquite Ave, Lake Havasu City, AZ 86403. The listed phone number is (480) 703-4227.

What is Rustom Ali's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Rustom Ali was last updated on June 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.