Alliance Health Clinic Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PENDING Issued in CA

Legal business name

ALLIANCE HEALTH CLINIC INC

Practice address

5952 El Cajon Blvd
San Diego, CA 92115-3828

Phone

(619) 229-8030

Fax

(619) 229-8031

NPI assigned

Jun 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Walter S. Lam, MD

Title

President & Ceo

Phone

(619) 286-9052

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Alliance Health Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alliance Health Clinic

  • Primary Care Clinic/Center
  • San Diego, CA
  • NPI 1205211851
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lagina Rashell Scott, M.D.

  • Adult Medicine Physician
  • San Diego, CA
  • NPI 1558897009
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1043413321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5952 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153828",
            "telephone_number": "619-229-8030",
            "fax_number": "619-229-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5952 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153828",
            "telephone_number": "619-229-8030",
            "fax_number": "619-229-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "619-286-9052",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS TAX CERTIFICATE",
            "identifier": "2007006162",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hallie Kellina Allex
• Nathan Alley-Byrd, MD
• Julie Alley, PSY.D.
• Alliance for African Assistance
• Alliance Health Clinic
• Alliant Care Transport
• Alliant International University, Inc.
• Shaheed Allie
• Allied Gardens Family Optometry Inc.
• Alliedpath

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.