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

Tareq Ali, MD

Individual provider Family Medicine Physician · NPI 1790722718

Tareq Ali, MD is an Emergency Medicine in Lodi, California. Qualified in 1990, 36 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
36
Licensed in
CA
In the registry since
2006
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

1520 W Kettleman Ln Ste B
Lodi, CA 95242-9290
Phone: (209) 339-3797
Fax: (209) 339-3795
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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 A51048 (CA)

Record details

NPI number1790722718
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESSeptember 19, 2008
Mailing address1520 W Kettleman Ln, Suite B, Lodi, CA 95242-9290

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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