Healthcare Provider Details

I. General information

NPI: 1164361689
Provider Name (Legal Business Name): ANARI MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 N MACLAY AVE
SAN FERNANDO CA
91340-2906
US

IV. Provider business mailing address

19360 RINALDI ST # 338
PORTER RANCH CA
91326-1607
US

V. Phone/Fax

Practice location:
  • Phone: 818-697-8585
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALI ANARI
Title or Position: MEDICAL DIRECTOR/OWNER
Credential: MD
Phone: 818-697-8585