Active NPI
Alisa K Sato, M.D.
- Emergency Medicine Physician
- Whittier, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A109328
- Practice address
- 12401 Washington Boulevard
Intercommunity Emergency Medicine Group (Iemg)
Whittier, CA 90602 - Phone
- (562) 698-0811
- Fax
- (310) 782-1763
- NPI assigned
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | A109328 | CA | Primary |
Addresses
Primary practice location
12401 Washington Boulevard
Intercommunity Emergency Medicine Group (Iemg)
Whittier, CA 90602
Mailing address
12401 Washington Boulevard
Intercommunity Emergency Medicine Group (Iemg)
Whittier, CA 90602
Phone (562) 698-0811
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A109328 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercommunity Emergency Medical Group | Emergency Medicine | Current | Accepting new patients |
Locations
11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611
4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Whittier, CA
- NPI 1871535286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1568626331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12401 WASHINGTON BOULEVARD",
"address_2": "INTERCOMMUNITY EMERGENCY MEDICINE GROUP (IEMG)",
"city": "WHITTIER",
"state": "CA",
"postal_code": "90602",
"telephone_number": "562-698-0811",
"fax_number": "562-945-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 WASHINGTON BOULEVARD",
"address_2": "INTERCOMMUNITY EMERGENCY MEDICINE GROUP (IEMG)",
"city": "WHITTIER",
"state": "CA",
"postal_code": "90602",
"telephone_number": "562-698-0811",
"fax_number": "310-782-1763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATO",
"first_name": "ALISA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A109328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.