Individual provider Active NPI

Alfredo Enrique Sweeny, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1063588846
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A25070 Issued in CA
Practice address
4719 S Broadway
Los Angeles, CA 90037-3244
Phone
(323) 231-9983
Fax
(323) 231-9971
NPI assigned
Nov 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A25070 CA Primary

Addresses

Primary practice location

4719 S Broadway
Los Angeles, CA 90037-3244

Mailing address

4719 S Broadway
Los Angeles, CA 90037-3244
Phone (323) 231-9983

Other identifiers 3

IdentifierTypeStateIssuer
00A250701MedicaidCA
GR0089100MedicaidCA
A25070OtherCAHMO INSURANCES

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
I20150624000351 CA Practitioner - General Practice 3375854979 Practice locations: Los Angeles, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25070CAMDGeneral Practice Dentistry
A25070CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Family Medical Clinic Past Accepting new patients
Alfredo Sweeny, MD Inc Family Medicine Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1063588846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373244",
            "telephone_number": "323-231-9983",
            "fax_number": "323-231-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373244",
            "telephone_number": "323-231-9983",
            "fax_number": "323-231-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENY",
        "first_name": "ALFREDO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-25",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A25070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A250701",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO INSURANCES",
            "identifier": "A25070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.