Individual provider Active NPI

Katherine Nandor Alconcel, D.O.

  • Internal Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1376864215
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO3123 Issued in NV
Practice address
18300 US Highway 18
Sound Physicians
Apple Valley, CA 92307-2206
Phone
(769) 946-4233
NPI assigned
Jun 15, 2010
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A12724 CA
Internal Medicine Physician 207R00000X DO3123 NV Primary

Addresses

Primary practice location

18300 US Highway 18
Sound Physicians
Apple Valley, CA 92307-2206

Mailing address

4000 Civic Center Dr
Ste 206
San Rafael, CA 94903-5233
Phone (769) 946-4233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130801000235 CA Practitioner - Internal Medicine 6800037953 Reassigns benefits to 3 organizations
I20221130000129 NV Practitioner - Internal Medicine 6800037953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

12550 Hesperia Rd
Suite 100
Victorville, CA 92395-5873
Phone (760) 241-6666

6440 Centennial Ctr Blvd
Suite 110
Las Vegas, NV 89149-4797
Phone (702) 901-8320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12724CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Mar 1, 2016 Accepting new patients
Regents Univ of California UCSF Internal Medicine CurrentSince Nov 30, 2020 Accepting new patients
Urgent Care Nevada, LLC CurrentSince Apr 1, 2024 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Sep 6, 2021 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jun 1, 2013 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Mar 1, 2016 Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

19600 Vallco Pkwy
Ste 170
Cupertino, CA 95014
Phone (650) 338-4776

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1150 W El Camino Real
Mountain View, CA 94040
Phone (650) 695-5008

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

12550 Hesperia Rd
Ste 100
Victorville, CA 92395

6440 Centennial Center Blvd
Ste 110
Las Vegas, NV 89149
Phone (702) 901-8320

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: kalconcel1373310@oc.providencedirect.org

Organizations & group practices 9

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1376864215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR",
            "address_2": "STE 206",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949035233",
            "telephone_number": "769-946-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 US HIGHWAY 18",
            "address_2": "SOUND PHYSICIANS",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072206",
            "telephone_number": "769-946-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCONCEL",
        "first_name": "KATHERINE",
        "middle_name": "NANDOR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A12724",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO3123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.