Healthcare Provider Details

I. General information

NPI: 1033060488
Provider Name (Legal Business Name): ASADULLAH AQIL ALGERE MEDI-CAL PSS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: AQIL ALGERE MEDI-CAL PSS

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1282 MARKET ST
SAN FRANCISCO CA
94102-4801
US

IV. Provider business mailing address

1321 40TH ST APT 118
EMERYVILLE CA
94608-3690
US

V. Phone/Fax

Practice location:
  • Phone: 415-579-3021
  • Fax:
Mailing address:
  • Phone: 415-579-3021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberMPSS-LNESAK
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: