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

Syed Rustam Ali

Individual provider Licensed Vocational Nurse · NPI 1124997085

Syed Rustam Ali is a Licensed Vocational Nurse in Carmichael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

6127 Fair Oaks Blvd
Carmichael, CA 95608-4818
Phone: (916) 974-8090
Fax: (916) 974-7851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 6652022 (CA)

Record details

NPI number1124997085
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 30, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address6127 Fair Oaks Blvd, Carmichael, CA 95608-4818

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