Individual provider Active NPI

Alla Liberstein, M.D.

  • Internal Medicine Physician
  • Porterville, CA
National Provider Identifier
1164613899
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A100462 Issued in CA
Practice address
560 W Putnam Ave
Ste 7
Porterville, CA 93257-3269
Phone
(559) 854-7001
Fax
(559) 854-7002
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A100462 CA Primary

Addresses

Primary practice location

560 W Putnam Ave
Ste 7
Porterville, CA 93257-3269

Mailing address

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034-3144
Phone (559) 854-7001

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
I20080505000769 CA Practitioner - Internal MedicinePractitioner - General Practice 7911086707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Complete Care Community Health Center, IncGroup PAC ID 3779494190, 45 clinicians

Practice addresses (Care Compare)

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033-3110
Phone (323) 266-6700

Hospital & facility affiliations

  • Seva Home Health Home health agency, Porterville, CA, CCN 059544
  • Sierra View Medical Center Hospital, Porterville, CA, CCN 050261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100462CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc CurrentSince Oct 8, 2020 Accepting new patients
Sierra View Local Health Care District Past Accepting new patients

Locations

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

365 Pearson Dr
Ste 5
Porterville, CA 93257
Phone (559) 781-5179

Interoperability endpoints

  • Direct secure messaging: alla.liberstein.p1@direct.ccchcenter.nextgenshare.com
  • Direct secure messaging: alla.liberstein.p1@direct.trihci.nextgenshare.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1164613899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 S ROBERTSON BLVD",
            "address_2": "STE 280",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343144",
            "telephone_number": "559-854-7001",
            "fax_number": "559-854-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W PUTNAM AVE",
            "address_2": "STE 7",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573269",
            "telephone_number": "559-854-7001",
            "fax_number": "559-854-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERSTEIN",
        "first_name": "ALLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.