Active NPI
Alma M Palisoc, M.D.
- Internal Medicine Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A101303
- Practice address
- 1454 E 2ND St
San Bernardino, CA 92408-0118 - Phone
- (909) 382-7146
- Fax
- (909) 382-7101
- NPI assigned
- May 30, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL1403 | NV | |
| Internal Medicine Physician | 207R00000X | 11958 | NV | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 2312 | CO | |
| Internal Medicine Physician | 207R00000X | A101303 | CA | Primary |
Addresses
Primary practice location
1454 E 2ND St
San Bernardino, CA 92408-0118
Mailing address
1454 E 2ND St
San Bernardino, CA 92408-0118
Phone (909) 382-7146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11958 | Other | NV | PHYSICIAN LICENSE INACTIV |
| A101303 | Other | CA | PHYSICAN AND SURGEON LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1454 E 2ND St
San Bernardino, CA 92408-0118
Phone (909) 382-7100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2312 | CO | MD | Psychologist |
| 101303 | CA | MD | Marriage & Family Therapist |
| A101303 | CA | MD | Internal Medicine Physician |
| LL1403 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| County of San Bernardino | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| County of San Bernardino | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
150 E Holt Blvd
Ontario, CA 91761
Phone (800) 722-4777
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
351 N Mountain View Ave
Rm 303
Sn Bernrdno, CA 92415
901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779
Interoperability endpoints
- apalisoc9991@direct.llu.edu
Organizations & group practices 10
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.
-
dba SAC Arrowhead
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1013935923
-
dba Department of Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1164467023
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Public Health or Welfare Agency
- Needles, CA
- NPI 1558531707
-
- Neurological Surgery Physician
- Loma Linda, CA
- NPI 1194775122
-
- Ophthalmology Physician
- Loma Linda, CA
- NPI 1437109469
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Urology Physician
- Loma Linda, CA
- NPI 1790326825
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1013935915
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1467274126
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1144277526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1454 E 2ND ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924080118",
"telephone_number": "909-382-7146",
"fax_number": "909-382-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 E 2ND ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924080118",
"telephone_number": "909-382-7146",
"fax_number": "909-382-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALISOC",
"first_name": "ALMA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "LL1403",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "11958",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CO",
"license": "2312",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A101303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE INACTIV",
"identifier": "11958",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAN AND SURGEON LICENSE",
"identifier": "A101303",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.