Active NPI
Ferdinand A Alfonso, MD
- Neurology Physician
- Duarte, CA
National Provider Identifier
1356339733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A40114
- Practice address
- 931 Buena Vista St
Suite 503
Duarte, CA 91010-1712 - Phone
- (626) 357-8003
- Fax
- (626) 357-8402
- NPI assigned
- Oct 11, 2005
- Last updated
- Oct 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A40114 | CA | Primary |
Addresses
Primary practice location
931 Buena Vista St
Suite 503
Duarte, CA 91010-1712
Mailing address
931 Buena Vista St
Suite 503
Duarte, CA 91010-1712
Phone (626) 357-8003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A40114 | Medicaid | CA |
Other names 1
- Mr. Ferdinand A Alfonso
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A40114 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diasound Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Ultrasound Physician
- Van Nuys, CA
- NPI 1669409934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1356339733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 BUENA VISTA ST",
"address_2": "SUITE 503",
"city": "DUARTE",
"state": "CA",
"postal_code": "910101712",
"telephone_number": "626-357-8003",
"fax_number": "626-357-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 BUENA VISTA ST",
"address_2": "SUITE 503",
"city": "DUARTE",
"state": "CA",
"postal_code": "910101712",
"telephone_number": "626-357-8003",
"fax_number": "626-357-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFONSO",
"first_name": "FERDINAND",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A40114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A40114",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FERDINAND",
"last_name": "ALFONSO",
"middle_name": "A",
"prefix": "MR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.