Organization Active NPI

Alla Liberstein, MD, Inc.

  • Internal Medicine Physician
  • Porterville, CA
National Provider Identifier
1114105079
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALLA LIBERSTEIN, MD, INC.
Practice address
277 W Putnam Ave
Porterville, CA 93257-3450
Phone
(559) 793-2587
Fax
(559) 793-2525
NPI assigned
Feb 3, 2008
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Alla Liberstein, MD
Title
President
Phone
(559) 793-2587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

277 W Putnam Ave
Porterville, CA 93257-3450

Mailing address

277 W Putnam Ave
Porterville, CA 93257-3450
Phone (559) 793-2587

Other identifiers 1

IdentifierTypeStateIssuer
05D1083409OtherCACLIA NUMBER

National Provider Directory

National Provider Directory

Locations

1077 W Morton Ave
Ste 1
Porterville, CA 93257
Phone (559) 793-2587

277 W Putnam Ave
Porterville, CA 93257
Phone 5597932587 ext. 7

560 W Putnam Ave
Ste 7
Porterville, CA 93257
Phone (559) 788-2670

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1114105079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573450",
            "telephone_number": "559-793-2587",
            "fax_number": "559-793-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573450",
            "telephone_number": "559-793-2587",
            "fax_number": "559-793-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLA LIBERSTEIN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-03",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "LIBERSTEIN",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-793-2587",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "05D1083409",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.