DR. ALTAF LUTFE ALI (NPI# 1376722736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376722736 |
| Entity Type | Individual |
| Full Name | DR. ALTAF LUTFE ALI |
| Credential | M.D. |
| Practice Address |
5365 Walnut Ave Ste. L Chino CA 91710-2622 |
| Practice Telephone | 9095917395 |
| Practice Fax Number | 9095915097 |
| Mailing Telephone | 9095917395 |
| Mailing Fax Number | 9095915097 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A42679 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
A42679 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A426791 | 05 |
| Street Address |
5365 WALNUT AVE STE. L |
| City | CHINO |
| State | CA |
| Zip Code | 91710-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578526620 | Altaf L Ali Md Inc | Internal Medicine | 5365 Walnut Ave, Ste H, Chino, CA 91710-2622 | 2006-04-10 |
| 1649720707 | Benjamin Heredia Chiropractic Inc. | Chiropractor | 5365 Walnut Ave, Suite B, Chino, CA 91710-2622 | 2016-10-12 |
| 1063962884 | Perry Sahagun | Nurse Practitioner | 5365 Walnut Ave, Unit 1, Chino, CA 91710-2622 | 2016-10-05 |
| 1356790281 | Benjamin James Heredia | Chiropractor | 5365 Walnut Ave, Suite B, Chino, CA 91710-2622 | 2016-06-10 |
| 1801132477 | R R Kurwa Md Inc | Clinic/Center | 5365 Walnut Ave, Ste Hi, Chino, CA 91710-2622 | 2012-12-29 |
| 1164634655 | Boonsong Anan, M.d., Inc | Urology | 5365 Walnut Ave, Suite P, Chino, CA 91710-2622 | 2007-05-04 |
| 1588725659 | Duong Thieu Phung | Obstetrics & Gynecology | 5365 Walnut Ave, Suite A, Chino, CA 91710 | 2006-12-13 |
| 1124193297 | Inland Artificial Limb & Brace | Prosthetic/Orthotic Supplier | 5365 Walnut Ave, Suite K, Chino, CA 91710-2622 | 2006-11-22 |
| 1639189020 | Boonsong Anan | Urology | 5365 Walnut Ave, Suite P, Chino, CA 91710-2622 | 2006-08-08 |
| 1194731588 | San Bernardino Health Medical Group Inc | Specialist | 5365 Walnut Ave, A, Chino, CA 91710-2622 | 2006-07-31 |
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| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
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| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154824035 | Cardio-interventional Specialists | Internal Medicine | 13768 Roswell Ave Ste 218, Chino, CA 91710-1407 | 2018-03-16 |
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| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
| 1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
| 1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
| 1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
| 1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.