Organization Active NPI

Alcam Medical Inc.

  • Prosthetic/Orthotic Supplier
  • Hawthorne, CA
National Provider Identifier
1548754401
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ALCAM MEDICAL INC.
Practice address
12950 Hawthorne Blvd
Hawthorne, CA 90250
Phone
(951) 782-7000
NPI assigned
Jun 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Alpha Iscandari Sanusi, BOCPO
Title
President
Phone
(951) 782-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

12950 Hawthorne Blvd
Hawthorne, CA 90250

Mailing address

1660 Chicago Ave Ste M13
Riverside, CA 92507-2033
Phone (866) 847-7187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190529003250 CA DME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Prosthetic Personnel 9032313952 Practice locations: Hawthorne, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Alcam Medical Inc12950 Hawthorne Blvd, Hawthorne, CA 90250-4408(951) 782-7000 Commodes, Urinals, Bedpans|Contracture Treatment Devices: Dynamic Splint|Pneumatic Compression Devices and/or Supplies|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Standard Manual)… Does not accept assignmentParticipating since Jan 9, 2007

National Provider Directory

National Provider Directory
Tax ID family
Alcam Medical Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6734 Doolittle Ave
Ste L
Riverside, CA 92503
Phone (951) 687-7692

3369 Chicago Ave
Riverside, CA 92507
Phone (951) 782-7000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1548754401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 CHICAGO AVE STE M13",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072033",
            "telephone_number": "866-847-7187",
            "fax_number": "877-310-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "951-782-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCAM MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "SANUSI",
        "authorized_official_first_name": "ALPHA",
        "authorized_official_middle_name": "ISCANDARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-782-7000",
        "authorized_official_credential": "BOCPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.