IndividualActive
Ali Khavari, DPM
NPI 1043836778 · Foot & Ankle Surgery Podiatrist · Walnut Creek, CA
Provider details
- NPI number
- 1043836778
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- E6047 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone: (925) 464-1982
Approximate (ZIP-level) locationGet directions
Mailing address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Additional practice locations (1)
- 12677 Alcosta Blvd Ste 180San Ramon, CA 94583-4423Phone: (925) 464-1982
Registry dates
- Enumerated
- 2020-06-18
- Last updated
- 2025-05-01
- Certified
- 2025-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.