Active NPI
Carly Alexander, M.D.
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1063770980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 148954
- Practice address
- 321 N Larchmont Blvd Ste 1020
Los Angeles, CA 90004-6410 - Phone
- (323) 960-8500
- NPI assigned
- Apr 28, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 148954 | CA | Primary |
Addresses
Primary practice location
321 N Larchmont Blvd Ste 1020
Los Angeles, CA 90004-6410
Mailing address
1547 Talmadge St
Los Angeles, CA 90027-1534
Phone (612) 816-4700
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148954 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miracle Mile Pediatrics | Pediatrics | Past | Accepting new patients |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- calexander216409@direct.cshs.org
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.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Pediatrics Physician
- Los Angeles, CA
- NPI 1962874131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1063770980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1547 TALMADGE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900271534",
"telephone_number": "612-816-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N LARCHMONT BLVD STE 1020",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900046410",
"telephone_number": "323-960-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "CARLY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "148954",
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.