MEDICARE: DR. MICHAEL A ALI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A95471	CA
2	207P00000X	Emergency Medicine Physician	MD61351602	WA
3	207P00000X	Emergency Medicine Physician	A95471	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457317547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A ALI M.D.

Provider Business Mailing Address
First Line	:	3605 AGNETA CT
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-7408
Country	:	US
Telephone Number	:	916-501-1500
Fax Number	:	916-683-9605

Provider Business Practice Location Address
First Line	:	8325 ELK GROVE FLORIN RD
Second Line	:	SUITE 800
City	:	SACRAMENTO
State	:	CA
Zip	:	95829-9523
Country	:	US
Telephone Number	:	916-226-6190
Fax Number	:	916-689-5038

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	12/03/2025

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