Active NPI
Alan L Hiti, MD, PHD
- Clinical Pathology/Laboratory Medicine Physician
- Los Angeles, CA
National Provider Identifier
1053456285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- A41833
- Practice address
- 2250 Alcazar St
CSC-108
Los Angeles, CA 90089-9064 - Phone
- (323) 442-2920
- Fax
- (323) 442-2990
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | A41833 | CA | Primary |
Addresses
Primary practice location
2250 Alcazar St
CSC-108
Los Angeles, CA 90089-9064
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-4815
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A41833 | Other | CA | STATE LICENSE |
| ZZZ310292Z | Other | CA | BLUE SHIELD |
| 000G52770 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A41833 | CA | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pathology Associates, Inc. | Clinical Pathology/Laboratory Medicine | Past | Accepting new patients |
| Verdugo Hills Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
- NPI 1952325565
Clinical Pathology/Laboratory Medicine
-
- Community/Retail Pharmacy
- Glendale, CA
- NPI 1144615550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1053456285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 ALCAZAR ST",
"address_2": "CSC-108",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900899064",
"telephone_number": "323-442-2920",
"fax_number": "323-442-2990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITI",
"first_name": "ALAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "CA",
"license": "A41833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A41833",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ310292Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000G52770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.