Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ali Khavari, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1043836778

Dr. Ali Khavari, DPM is a Podiatry in Walnut Creek, California. Graduated from California School of Podiatric Medicine in 2021, 5 years ago. Practices with Bass Medical Group, a 292-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2020
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone: (925) 464-1982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12677 Alcosta Blvd Ste 180, San Ramon, CA 94583-4423 — (925) 464-1982

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E6047 (CA)

Record details

NPI number1043836778
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 18, 2020
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Bass Medical Group — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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