Individual provider · Type 1 NPI

Syed Rustam Ali

Licensed Vocational Nurse · Carmichael, CA

NPI number 1124997085 Active

Practice location

6127 Fair Oaks Blvd
Carmichael, CA 95608-4818

Fax (916) 974-7851

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X6652022 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1124997085

Syed Rustam Ali's National Provider Identifier is 1124997085, issued on Oct 30, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Carmichael, CA. The record was last updated on Oct 30, 2025.