Alejandro R Prieto, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

AP063730 Issued in MI

Practice address

2220 Gladstone Dr
Suite 3
Pittsburg, CA 94565-5123

Phone

(925) 432-3318

Fax

(925) 432-4590

NPI assigned

Apr 6, 2006

Last updated

Jun 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GU

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guam Healthcare Development IncorporatedGroup PAC ID 9234351776, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guam Regional Medical City Hospital, Dededo, GU, CCN 650003

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guam Healthcare Development Incorporated

  dba GRMC Specialty Care Center

  • Clinic/Center
  • Dededo, GU
  • NPI 1326447939
  Medicare reassignment Care Compare group NPD

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

• Guam Healthcare Development Incorporated

  dba Guam Regional Medical City

  • General Acute Care Hospital
  • Dededo, GU
  • NPI 1194159525
  Care Compare affiliation

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1235191883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 GLADSTONE DR",
            "address_2": "SUITE 3",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655123",
            "telephone_number": "925-432-3318",
            "fax_number": "925-432-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 GLADSTONE DR",
            "address_2": "SUITE 3",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655123",
            "telephone_number": "925-432-3318",
            "fax_number": "925-432-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "ALEJANDRO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "AP063730",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GU",
            "license": "M-2053",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GU",
            "license": "M-2053",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "AP063730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4587035",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Portia Bell Hume Behavioral Health and Training Center (The Hume Center Community Support Program)
• Brian Powelson, ATC
• Samantha Poyser, DR
• Radhika Prasad
• Hayley R Preston
• Babe Donato Prieto, M.P.T.
• Elaine Stephanie Pritchard, LMFT
• Kimberly Privette
• Bolormaa Purvee
• Ronnie Quesada, DC

• Interventional Cardiology Physician in Pittsburg, CA
• Providers in Pittsburg, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.

Verify at the official NPI Registry.