Individual provider Active NPI

Alicia Kim Sanchez, MD

  • Family Medicine Physician
  • South Gate, CA
National Provider Identifier
1063640241
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
126211 Issued in CA
Practice address
3529 Firestone Blvd
South Gate, CA 90280-3031
Phone
(323) 566-1700
Fax
(323) 566-3816
NPI assigned
Jun 26, 2009
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME121223 FL
Family Medicine Physician 207Q00000X A126211 CA
Family Medicine Physician 207Q00000X 126211 CA Primary

Addresses

Primary practice location

3529 Firestone Blvd
South Gate, CA 90280-3031

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

3700 Johnson St
Hollywood, FL 33021-6031
Phone (954) 265-2550

Other practice location 2

9306 Alondra Blvd
Bellflower, CA 90706-4212
Phone (323) 566-1700

Other practice location 3

16620 Sheridan St
Fort Lauderdale, FL 33331
Phone (954) 276-1285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, MI, MA, WI, OH, PA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20150507001172 FL Practitioner - Family Practice 4284880188 Reassigns benefits to 3 organizations
I20210326000676 CA Practitioner - Family Practice 4284880188 Reassigns benefits to 2 organizations
I20260402002479 MI Practitioner - Family Practice 4284880188 Reassigns benefits to 1 organization
I20260407000757 MA Practitioner - Family Practice 4284880188 Reassigns benefits to 1 organization
I20260408002236 WI Practitioner - Family Practice 4284880188 Reassigns benefits to 1 organization
I20260413000092 OH Practitioner - Family Practice 4284880188 Reassigns benefits to 1 organization
I20260511002673 PA Practitioner - Family Practice 4284880188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dennis J Sanchez MD a Professional CorpGroup PAC ID 4284075920, 3 clinicians

Practice addresses (Care Compare)

3529 Firestone Blvd
South Gate, CA 90280-3031
Phone (323) 566-1700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126211CAMDFamily Medicine Physician
A126211CAMDFamily Medicine Physician
ME121223FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keycare Medical, P.a. Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
South Broward Hospital District CurrentSince Sep 1, 2018 Accepting new patients
South Broward Hospital District CurrentSince Sep 1, 2018 Accepting new patients
South Broward Hospital District Current Accepting new patients
Dennis J Sanchez MD a Professional Corp Family Medicine CurrentSince Apr 16, 2024 Accepting new patients
Cleveland Clinic Weston Hospital Nonprofit Corporation Past Accepting new patients
St Francis Medical Center Past Accepting new patients
Northwestern Memorial Hospital Past Accepting new patients
Northwestern Memorial Hospital Past Accepting new patients

Locations

9306 Alondra Blvd
Bellflower, CA 90706
Phone (323) 566-1700

5200 Clark Ave
Unit 6189
Lakewood, CA 90714

3529 Firestone Blvd
South Gate, CA 90280
Phone (323) 566-1700

16620 Sheridan St
Fort Lauderdale, FL 33331
Phone (954) 265-3451

1740 Sheridan St
Hollywood, FL 33020
Phone (954) 276-1565

3700 Johnson St
Hollywood, FL 33021
Phone (954) 265-2550

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: alicia.sanchez.1@19957.direct.athenahealth.com
  • FHIR API: https://epicproxy.et1284.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGIIBA/Endpoint/BGIIBA

Organizations & group practices 11

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1063640241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 FIRESTONE BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902803031",
            "telephone_number": "323-566-1700",
            "fax_number": "323-566-3816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Johnson St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216031",
            "country_code": "US",
            "telephone_number": "954-265-2550",
            "fax_number": "954-265-2570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9306 Alondra Blvd",
            "address_purpose": "LOCATION",
            "city": "Bellflower",
            "state": "CA",
            "postal_code": "907064212",
            "country_code": "US",
            "telephone_number": "323-566-1700",
            "fax_number": "323-566-3816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16620 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "33331",
            "country_code": "US",
            "telephone_number": "954-276-1285",
            "fax_number": "954-602-5048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "ALICIA",
        "middle_name": "KIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME121223",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A126211",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "126211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

Verify at the official NPI Registry.