Active NPI
Ala' Alqudah, M.D.
- Pediatrics Physician
- Visalia, CA
National Provider Identifier
1407423668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A196284
- Practice address
- 305 E Center Ave
Visalia, CA 93291-6331 - Phone
- (313) 745-1892
- NPI assigned
- Jun 7, 2021
- Reactivated
- Apr 20, 2023
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A196284 | CA | Primary |
Addresses
Primary practice location
305 E Center Ave
Visalia, CA 93291-6331
Mailing address
305 E Center Ave
Visalia, CA 93291-6331
Phone (313) 745-1892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250404002874 | CA | Practitioner - Pediatric Medicine | 7113323171 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A196284 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients |
Locations
401 E School Ave
Visalia, CA 93291
Phone (559) 741-4356
501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939
305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCECCA
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Pixley, CA
- NPI 1033661558
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
-
- Federally Qualified Health Center (FQHC)
- Farmersville, CA
- NPI 1326317819
-
- Federally Qualified Health Center (FQHC)
- Goshen, CA
- NPI 1336237072
-
- Federally Qualified Health Center (FQHC)
- Springville, CA
- NPI 1386738177
-
- Federally Qualified Health Center (FQHC)
- Visalia, CA
- NPI 1588699151
-
- Federally Qualified Health Center (FQHC)
- Terra Bella, CA
- NPI 1831520048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1407423668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 E CENTER AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916331",
"telephone_number": "313-745-1892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 E CENTER AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916331",
"telephone_number": "313-745-1892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALQUDAH",
"first_name": "ALA'",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-07",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"deactivation_date": "2023-04-03",
"reactivation_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A196284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.