NPIMap

Individual provider Active NPI

Juan Antonio Alarcon, MD

  • Urology Physician
  • Montebello, CA
National Provider Identifier
1609834217
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A40197 Issued in CA
Practice address
2133 W Beverly Blvd
Suite 200
Montebello, CA 90640-3901
Phone
(626) 284-9278
Fax
(626) 284-9746
NPI assigned
May 3, 2006
Last updated
Mar 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A40197 CA Primary

Addresses

Primary practice location

2133 W Beverly Blvd
Suite 200
Montebello, CA 90640-3901

Mailing address

PO Box 303
Surfside, CA 90743-0303
Phone (714) 841-5471

Other identifiers 1

IdentifierTypeStateIssuer
00A401970MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921001312 CA Practitioner - Urology 0446228043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2133 W Beverly Blvd
Suite 200
Montebello, CA 90640-3973
Phone (626) 284-9278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A40197CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Memorial Medical Center Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Infinity Home Care Providers, Inc.El Monte, CA, CCN 058246 Home health agency Corporate Director Jan 2, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1609834217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "SURFSIDE",
            "state": "CA",
            "postal_code": "907430303",
            "telephone_number": "714-841-5471",
            "fax_number": "714-841-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 W BEVERLY BLVD",
            "address_2": "SUITE 200",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403901",
            "telephone_number": "626-284-9278",
            "fax_number": "626-284-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALARCON",
        "first_name": "JUAN",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A40197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A401970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.