Alicia Squalls

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

605 W Olympic Blvd Ste 600
Los Angeles, CA 90015-1475

Phone

(213) 553-1884

Fax

(213) 236-9662

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1417146358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W OLYMPIC BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151475",
            "telephone_number": "213-553-1884",
            "fax_number": "213-236-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W OLYMPIC BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151475",
            "telephone_number": "213-553-1884",
            "fax_number": "213-236-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUALLS",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Ann Spry-Smith, CNM,NP
• Hannah Heininger Spungen, MD, MPH
• Daniel Robert Spurgeon, M.D.
• Ledahlia Spurlock
• SQ Medical, Inc. (Camden Medical)
• Lisa Renee Square
• Squareone Affordable Housing Advocacy and Consultant, Inc
• Monica Squitieri
• Sandeep Sran, BCBA
• Aram Srapyan

• Rehabilitation Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.

Verify at the official NPI Registry.