MRS. AMENA MASOOD ALI (NPI# 1609053487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609053487 |
| Entity Type | Individual |
| Full Name | MRS. AMENA MASOOD ALI |
| Credential | BS, PA-C |
| Practice Address |
23672 Birtcher Dr Unit A Lake Forest CA 92630-1711 |
| Practice Telephone | 9497707301 |
| Practice Fax Number | 9497700634 |
| Mailing Telephone | 9497707301 |
| Mailing Fax Number | 9497700634 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2014-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 19554 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
23672 BIRTCHER DR UNIT A |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053405506 | Mohammed Mahmood Ali | Family Medicine | 23672 Birtcher Dr, Unit A, Lake Forest, CA 92630-1711 | 2006-10-02 |
| 1548591944 | Neal M Damian | Chiropractor | 23672 Birtcher Dr, Suite B, Lake Forest, CA 92630-1769 | 2010-01-25 |
| 1013080621 | Rizwana Mohseni | Family Medicine | 23672 Birtcher Dr, Unit A, Lake Forest, CA 92630-1711 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699201277 | Molly Anne Churlonis | Physician Assistant | 29100 Portola Pkwy Ste G, Lake Forest, CA 92630-8712 | 2017-05-03 |
| 1245328582 | Rebecca Gamble Houglum | Physician Assistant | 915 S Waukegan Rd, Lake Forest, IL 60045-2654 | 2006-10-11 |
| 1619512019 | Robert William Radtke IIi | Physician Assistant | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-11-10 |
| 1508377532 | Meghan Strand | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-10-17 |
| 1306364633 | Jamie Melissa Rosenberg | Physician Assistant | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2017-09-07 |
| 1750763801 | Gianna Rondinella | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2015-06-25 |
| 1265695530 | Kelsey Grimmer | Physician Assistant | 900 N Westmoreland Rd, Ste 222, Lake Forest, IL 60045-1674 | 2008-07-08 |
| 1467648683 | Katie Springer | Physician Assistant | 800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on MRS. AMENA MASOOD ALI.
| 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.