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ALI HEIDARI D.O.
NPI 1962516351
Specialist in Upland, CA

Active since August 19, 2006PECOS Enrolled
843 E FOOTHILL BLVD, UPLAND, CA 91786(909) 982-1002 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ali Heidari D.o. NPPES

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

ALI HEIDARI D.O. (NPI 1962516351) is an individual specialist in Upland, California, licensed in California (20A6946) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962516351
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameALI HEIDARICredential: D.O.
Location Address843 E FOOTHILL BLVDUpland, CA 91786-4034
Mailing Address1777 Atlanta Ave, G6Riverside, CA 92507-7417 · (951) 682-8999 · Fax (951) 682-9019
Phone(909) 982-1002
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962516351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · 20A6946
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

843 E FOOTHILL BLVD, Upland, CA 91786
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Other Identifiers 1

Medicare UPINF22291CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ali Heidari D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

ALI A HEIDARI, DO, A PROFESSIONAL CORPORATION
Plastic Surgery
843 E FOOTHILL BLVD
UPLAND, CA 91786
San Bernardino County (909) 982-1002
PREMIUM EXTREMITY CARE, INC.
Plastic Surgery
843 E FOOTHILL BLVD
UPLAND, CA 91786
San Bernardino County (909) 982-1002
MERIT SURGERY CENTER, INC
Clinic/Center (Ambulatory Surgical)
843 E FOOTHILL BLVD
UPLAND, CA 91786
San Bernardino County (909) 982-1002

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 Ali Heidari's NPI number?

The NPI number for Ali Heidari is 1962516351. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Ali Heidari located?

Ali Heidari practices at 843 E Foothill Blvd, Upland, CA 91786. The listed phone number is (909) 982-1002.

What is Ali Heidari's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ali Heidari enrolled in Medicare?

Yes. Ali Heidari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ali Heidari was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.