Active NPI
Alisara Ateerat, MS
- Genetic Counselor (M.S.)
- San Gabriel, CA
National Provider Identifier
1396029849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 207 S Santa Anita Ave
San Gabriel, CA 91776-1146 - Phone
- (626) 282-9830
- NPI assigned
- Oct 3, 2011
- 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 |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | CA | Primary |
Addresses
Primary practice location
207 S Santa Anita Ave
San Gabriel, CA 91776-1146
Mailing address
22572 Cottonwood Cir
Lake Forest, CA 92630-3016
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)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1396029849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22572 COTTONWOOD CIR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926303016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S SANTA ANITA AVE",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761146",
"telephone_number": "626-282-9830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATEERAT",
"first_name": "ALISARA",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.