Healthcare Provider Details

I. General information

NPI: 1679438998
Provider Name (Legal Business Name): AISHA ALI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 CALLE DEL MUNDO APT 458
SANTA CLARA CA
95054-1079
US

IV. Provider business mailing address

2333 CALLE DEL MUNDO APT 458
SANTA CLARA CA
95054-1079
US

V. Phone/Fax

Practice location:
  • Phone: 872-278-9814
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number95314645
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: