Healthcare Provider Details

I. General information

NPI: 1871024091
Provider Name (Legal Business Name): ALI S ARASTU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VALLEY CHILDREN'S HOSPITAL 9300 VALLEY CHILDREN'S PLACE
FRESNO CA
93720
US

IV. Provider business mailing address

4650 W SUNSET BLVD # 68
LOS ANGELES CA
90027-6062
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-6115
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA140337
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberA140337
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: