Individual provider Active NPI

Alicia Ann Alexander, MS,PA-C

  • Physician Assistant
  • Cerritos, CA
National Provider Identifier
1437402989
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
22609 Issued in CA
Practice address
18000 Studebaker Rd Ste 800
Cerritos, CA 90703-2679
Phone
(562) 735-3226
Fax
(562) 677-2307
NPI assigned
Oct 22, 2012
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 22609 CA Primary

Addresses

Primary practice location

18000 Studebaker Rd Ste 800
Cerritos, CA 90703-2679

Mailing address

3100 Chino Hills Pkwy Unit 834
Chino Hills, CA 91709-4295
Phone (818) 314-7225

Other practice location 1

44835 Date Ave
Lancaster, CA 93534-3102
Phone (661) 951-0147

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507001979 CA Practitioner - Physician Assistant 6204150501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Rheumatology and Osteoporosis Center Inc. PastSince Jul 1, 1996 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alicia.alexander.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1437402989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CHINO HILLS PKWY UNIT 834",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094295",
            "telephone_number": "818-314-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 800",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032679",
            "telephone_number": "562-735-3226",
            "fax_number": "562-677-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44835 Date Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935343102",
            "country_code": "US",
            "telephone_number": "661-951-0147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "ALICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS,PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "22609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.