NPIMap

Organization Active NPI

U.S. Healthworks Medical Group of Alaska, LLC

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Anchorage, AK
National Provider Identifier
1043761695
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
Legal business name
U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC
Practice address
4100 Lake Otis Pkwy
Suite 100
Anchorage, AK 99508-5229
Phone
(907) 563-4006
Fax
(907) 646-2575
NPI assigned
Oct 19, 2016
Organization subpart
Yes
Parent organization
U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Joseph T Mallas
Title
President
Phone
(661) 678-2600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0500X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

4100 Lake Otis Pkwy
Suite 100
Anchorage, AK 99508-5229

Mailing address

25124 Springfield CT
Suite 200
Valencia, CA 91355-1085
Phone (661) 678-2600

National Provider Directory

National Provider Directory
Tax ID family
US Healthworks Medical Group of Alaska LLC5 organizations share this tax ID, including this one
Part of
US Healthworks Medical Group of Alaska LLC

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1043761695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25124 SPRINGFIELD CT",
            "address_2": "SUITE 200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551085",
            "telephone_number": "661-678-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085229",
            "telephone_number": "907-563-4006",
            "fax_number": "907-646-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "MALLAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-678-2600"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.