Individual provider Active NPI

Humam Alosh, MD

  • Pediatrics Physician
  • Woodlake, CA
National Provider Identifier
1265696975
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A111581 Issued in CA
Practice address
201 E Lakeview Ave
Woodlake, CA 93286-1301
Phone
(877) 960-3426
NPI assigned
Jul 11, 2008
Last updated
Sep 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A111581 CA Primary
Pediatric Critical Care Medicine Physician 2080P0203X A111581 CA

Addresses

Primary practice location

201 E Lakeview Ave
Woodlake, CA 93286-1301

Mailing address

201 E Lakeview Ave
Woodlake, CA 93286-1301
Phone (877) 960-3426

Other practice location 1

3045 Arlington Ave
Graduate Medical education -ms 1050
Toledo, OH 43614-2570
Phone (419) 383-4244

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
I20150130002318 CA Practitioner - Pediatric Medicine 9032433610 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Dec 16, 2014 Accepting new patients
Family Healthcare Network Current Accepting new patients
County of Santa Clara Pediatrics CurrentSince Aug 18, 2018 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Aug 18, 2018 Accepting new patients
Family Healthcare Network CurrentSince Dec 16, 2014 Accepting new patients

Locations

12586 Avenue 408
Orosi, CA 93647
Phone (559) 528-2804

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

201 E Lakeview Ave
Woodlake, CA 93286
Phone (559) 564-0100

Interoperability endpoints

  • Direct secure messaging: halosh118715@santaclaravalley.direct-ci.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1265696975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E LAKEVIEW AVE",
            "city": "WOODLAKE",
            "state": "CA",
            "postal_code": "932861301",
            "telephone_number": "877-960-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E LAKEVIEW AVE",
            "city": "WOODLAKE",
            "state": "CA",
            "postal_code": "932861301",
            "telephone_number": "877-960-3426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3045 Arlington Ave",
            "address_2": "Graduate Medical education -ms 1050",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142570",
            "country_code": "US",
            "telephone_number": "419-383-4244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALOSH",
        "first_name": "HUMAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A111581",
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "A111581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodlake, CA

Sources for this page

Verify at the official NPI Registry.