Individual provider Active NPI

Dennis Alwen, M.D.

  • Surgery Physician
  • Woodland Hills, CA
National Provider Identifier
1043579808
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A121235 Issued in CA
Practice address
6200 Canoga Ave Ste 450
Woodland Hills, CA 91367-7464
Phone
(818) 518-5980
Fax
(818) 337-2049
NPI assigned
May 14, 2012
Last updated
May 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 14218149-1205 UT
Surgery Physician 208600000X A121235 CA Primary

Addresses

Primary practice location

6200 Canoga Ave Ste 450
Woodland Hills, CA 91367-7464

Mailing address

25408 Crenshaw Blvd
Torrance, CA 90505-6123
Phone (818) 518-5980

Other practice location 1

6440 S Wasatch Blvd Ste 235
Holladay, UT 84121-3546
Phone (801) 999-1180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825002792 CA Practitioner - Obstetrics/Gynecology 3173751799 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
121235CAMDClinical Social Worker
A121235CAMDSurgery Physician
14218149-1205UTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Rejuvenation Medical Professional Corporation CurrentSince May 12, 2024 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Sep 1, 2022 Accepting new patients
Pih Health Physicians CurrentSince Dec 15, 2021 Accepting new patients
Plastic Rejuvenation Medical Professional/Corp Surgery CurrentSince Apr 20, 2025 Accepting new patients
Pih Health Physicians Current Accepting new patients
Pih Health Physicians CurrentSince Dec 15, 2021 Accepting new patients
Pacific Rejuvination Medical a Professional Corp PastSince Jun 3, 2025 Accepting new patients
Roseville Urology, Inc. PastSince Aug 1, 2016 Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1245 Wilshire Blvd
Ste 690
Los Angeles, CA 90017
Phone (213) 977-4190

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

25408 Crenshaw Blvd
Torrance, CA 90505

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1043579808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25408 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056123",
            "telephone_number": "818-518-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 CANOGA AVE STE 450",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677464",
            "telephone_number": "818-518-5980",
            "fax_number": "818-337-2049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6440 S Wasatch Blvd Ste 235",
            "address_purpose": "LOCATION",
            "city": "Holladay",
            "state": "UT",
            "postal_code": "841213546",
            "country_code": "US",
            "telephone_number": "801-999-1180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALWEN",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "14218149-1205",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A121235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.