Healthcare Provider Details

I. General information

NPI: 1285596437
Provider Name (Legal Business Name): ALI SAADANI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S MAIN ST
CORONA CA
92882-3420
US

IV. Provider business mailing address

5111 E PASEO DE GRACE
ANAHEIM CA
92807-1216
US

V. Phone/Fax

Practice location:
  • Phone: 833-777-9247
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95037546
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: