Alliance Healthcare Services Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

6640-30 Issued in CA

Legal business name

ALLIANCE HEALTHCARE SERVICES INC.

Practice address

250 S Grand Ave
Glendora, CA 91741-4218

Phone

(626) 963-8411

NPI assigned

Apr 24, 2007

Last updated

Oct 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Howard Poan

Title

Exec VP & Cfo

Phone

(800) 544-3215

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412380800000",
    "number": "1417176207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BAYVIEW CIR",
            "address_2": "SUITE 400",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602983",
            "telephone_number": "800-544-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414218",
            "telephone_number": "626-963-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2014-10-04",
        "status": "A",
        "authorized_official_last_name": "POAN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "EXEC VP & CFO",
        "authorized_official_telephone_number": "800-544-3215"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CA",
            "license": "6640-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470000284",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IDTF00740",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470001394",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joaquin Alfaro, BA
• Alfonso P Miguel Jr MD Inc
• Patrick Joseph S Alix, MD
• Salima Allahbachayo
• Megan Allen-Smith, OTR/L
• Bailey Alexis Allison, MS
• Mari Louise Almond
• Alpha Hospice Services Inc
• Marilou C. Alquiros, DDS
• Steven D Alvarez-Mott, M.D.

• Mobile Radiology Clinic/Center in Glendora, CA
• Providers in Glendora, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2014; 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.