NPIMap

Organization Active NPI

Alliance Medical, LLC

  • Specialist
  • Redondo Beach, CA
National Provider Identifier
1376928010
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALLIANCE MEDICAL, LLC
Practice address
409 N Pacific Coast Hwy
Suite 166
Redondo Beach, CA 90277-2870
Phone
(805) 660-3510
Fax
(866) 225-3208
NPI assigned
Jul 23, 2015
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Mr. Phillip G ConnollyNPI 1114312196
Title
Owner
Phone
(805) 660-3510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

409 N Pacific Coast Hwy
Suite 166
Redondo Beach, CA 90277-2870

Mailing address

409 N Pacific Coast Hwy
Suite 166
Redondo Beach, CA 90277-2870
Phone (805) 660-3510

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1376928010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N PACIFIC COAST HWY",
            "address_2": "SUITE 166",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772870",
            "telephone_number": "805-660-3510",
            "fax_number": "866-225-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N PACIFIC COAST HWY",
            "address_2": "SUITE 166",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772870",
            "telephone_number": "805-660-3510",
            "fax_number": "866-225-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-660-3510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.