Active NPI
Alan C Noel Sr., MD
- Obstetrics Physician
- Los Angeles, CA
National Provider Identifier
1366444101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- C37160
- Practice address
- 8540 S Sepulveda Blvd
Suite 1002
Los Angeles, CA 90045-3807 - Phone
- (310) 670-2085
- Fax
- (310) 670-8258
- NPI assigned
- Aug 11, 2005
- Reactivated
- Jun 27, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | C37160 | CA | Primary |
Addresses
Primary practice location
8540 S Sepulveda Blvd
Suite 1002
Los Angeles, CA 90045-3807
Mailing address
8540 S Sepulveda Blvd Ste 1002
Los Angeles, CA 90045-3808
Phone (310) 670-2085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C371600 | Medicaid | CA |
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 |
|---|---|---|---|
| 37160 | CA | MD | Physical Therapist |
Interoperability endpoints
- anoel405303@oc.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1366444101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8540 S SEPULVEDA BLVD STE 1002",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453808",
"telephone_number": "310-670-2085",
"fax_number": "310-670-8258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8540 S SEPULVEDA BLVD",
"address_2": "SUITE 1002",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453807",
"telephone_number": "310-670-2085",
"fax_number": "310-670-8258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "ALAN",
"middle_name": "C",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2019-06-28",
"deactivation_date": "2006-03-22",
"reactivation_date": "2006-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "C37160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C371600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.