Active NPI
Amy Alias, MD
- Internal Medicine Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A118468
- Practice address
- 2141 N Harbor Blvd Ste 25000
Fullerton, CA 92835-3830 - Phone
- (714) 626-8615
- Fax
- (714) 626-8692
- NPI assigned
- Feb 21, 2008
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A118468 | CA | Primary |
Addresses
Primary practice location
2141 N Harbor Blvd Ste 25000
Fullerton, CA 92835-3830
Mailing address
2141 N Harbor Blvd Ste 25000
Fullerton, CA 92835-3830
Phone (714) 626-8615
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 |
|---|---|---|---|---|
| I20120820000454 | CA | Practitioner - Internal Medicine | 4880761899 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Medical Foundation
Practice addresses (Care Compare)
100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006
1514 Valley Vista Dr
Diamond Bar, CA 91765-3929
Phone (909) 860-1144
1835 Sunny Crest Dr
Fullerton, CA 92835-3616
Phone (714) 446-5101
1837 Sunny Crest Dr
Fullerton, CA 92835-3616
Phone (714) 446-5831
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 633-7175
253 S Diamond Bar Blvd
Diamond Bar, CA 91765-1606
Phone (909) 860-1144
4300 Rose Dr
Yorba Linda, CA 92886-2026
Phone (714) 577-6601
Hospital & facility affiliations
- Providence at Home With Compassus Home Health Orange County
- Providence Home Health Inland Empire
- Elegance Healthcare, Inc
- Providence St. Jude Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Internal Medicine | Past | Accepting new patients |
| Saint Mary'S Hospital, Inc. | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144
2141 N Harbor Blvd
Ste 25000
Fullerton, CA 92835
Phone (714) 626-8610
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- aalias1373227@oc.providencedirect.org
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Eureka, CA
- NPI 1386937225
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
Internal Medicine
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Anaheim, CA
- NPI 1588486716
-
- Home Health Agency
- Encino, CA
- NPI 1396117982
-
- Home Health Agency
- Walnut, CA
- NPI 1356706329
-
- Home Health Agency
- Pomona, CA
- NPI 1649475948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403308800000",
"number": "1306015607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2141 N HARBOR BLVD STE 25000",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353830",
"telephone_number": "714-626-8615",
"fax_number": "714-626-8692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 N HARBOR BLVD STE 25000",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353830",
"telephone_number": "714-626-8615",
"fax_number": "714-626-8692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALIAS",
"first_name": "AMY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2014-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A118468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; 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.