Organization Active NPI

Alerra, LLC

  • Mobile Radiology Clinic/Center
  • Portland, OR
National Provider Identifier
1568927903
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
ALERRA, LLC
Doing business as
StatMobile Healthcare
Practice address
618 NW 12TH Ave Apt 412
Portland, OR 97209-3031
Phone
(949) 258-9883
Fax
(949) 281-7707
NPI assigned
Feb 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Authorized official

Name
Martin A Canales
Title
Member
Phone
(949) 258-9883

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

618 NW 12TH Ave Apt 412
Portland, OR 97209-3031

Mailing address

34443 Via Verde Apt B
Capistrano Beach, CA 92624-1222
Phone (949) 258-9883

Other names 1

  • StatMobile Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alerra LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1568927903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34443 VIA VERDE APT B",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926241222",
            "telephone_number": "949-258-9883",
            "fax_number": "949-281-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 NW 12TH AVE APT 412",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093031",
            "telephone_number": "949-258-9883",
            "fax_number": "949-281-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALERRA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "CANALES",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "949-258-9883"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StatMobile Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.