Active NPI
Prashanti Alekal, M.D
- Pediatrics Physician
- Costa Mesa, CA
National Provider Identifier
1194874693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A86229
- Practice address
- 1190 Baker St
100
Costa Mesa, CA 92626-4108 - Phone
- (714) 668-2540
- Fax
- (714) 668-2510
- NPI assigned
- Jan 10, 2007
- 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 | A86229 | CA | Primary |
Addresses
Primary practice location
1190 Baker St
100
Costa Mesa, CA 92626-4108
Mailing address
P.O Box 15277
Costa Mesa, CA 92626-4108
Phone (714) 668-2540
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160614002338 | CA | Order and Referring Only - Internal Medicine | 6103117684 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86229 | CA | MD | Clinical Social Worker |
| A86229 | CA | MD | Pediatrics Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1194874693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 15277",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264108",
"telephone_number": "714-668-2540",
"fax_number": "714-668-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 BAKER ST",
"address_2": "100",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264108",
"telephone_number": "714-668-2540",
"fax_number": "714-668-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEKAL",
"first_name": "PRASHANTI",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A86229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.