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

Dr. Ali Pandamouz, MD

Individual provider Family Medicine Physician · NPI 1548600224

Dr. Ali Pandamouz, MD is a Family Practice in Manteca, California. Qualified in 2013, 13 years ago. Practices with Pacific Redwood Medical Group Inc, a 59-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
13
Licensed in
CA, IL
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1205 E North St
Manteca, CA 95336-4932
Phone: (209) 823-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.153861 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence A136965 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A136965 (CA)

Record details

NPI number1548600224
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2013
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Pacific Redwood Medical Group Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Manteca