Active NPI
Alia Khan-Hudson, MD
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- A89051
- Practice address
- 11301 Wilshire Blvd
Grecc (11G) Vaglahs
Los Angeles, CA 90073 - Phone
- (310) 478-3711
- Fax
- (310) 268-4842
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | A89051 | CA | Primary |
Addresses
Primary practice location
11301 Wilshire Blvd
Grecc (11G) Vaglahs
Los Angeles, CA 90073
Mailing address
1665 Scenic Ave
Ste. 100
Costa Mesa, CA 92626
Phone (714) 436-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 S Main St
Corona, CA 92882-3420
Phone (951) 737-4343
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A89051 | CA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Fountain Valley Group Services PC | Current | Accepting new patients | |
| Corona Hospitalist Medical Group, Inc. | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Talbert Medical Group, P.C. | Past | Accepting new patients | |
| Robert T. Wang, PH.D., M.D. | Geriatric Medicine | Past | Accepting new patients |
| University of California Irvine | Past | Accepting new patients | |
| Fountain Valley Group Services PC | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
818 W Alondra Blvd
Compton, CA 90220
Phone (310) 537-1137
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
1665 Scenic Ave
Ste 100
Costa Mesa, CA 92626
Phone (714) 436-4444
9930 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 964-6229
19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225
47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191
3650 South St
Ste 303
Lakewood, CA 90712
Phone (563) 633-9734
2699 Atlantic Ave
Long Beach, CA 90806
Phone (562) 426-2105
1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000
500 Alamitos Ave
Long Beach, CA 90802
Phone (310) 432-5661
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757
7974 Haven Ave
Ste 210
Rch Cucamonga, CA 91730
Phone (909) 941-0661
1002 N Fairview St
Santa Ana, CA 92703
Phone (714) 332-1069
13152 Newport Ave
Tustin, CA 92780
Phone (714) 442-4864
7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Corona, CA
- NPI 1477832871
-
- Hospitalist Physician
- Indio, CA
- NPI 1013310309
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
-
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1235293648
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
dba Optum
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
-
- Critical Care Medicine (Internal Medicine) Physician
- Indio, CA
- NPI 1194670349
-
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1578698874
-
dba Talbert Medical Group
- Internal Medicine Physician
- Fountain Valley, CA
- NPI 1528069176
-
dba UCI Health Lakewood
- General Acute Care Hospital
- Lakewood, CA
- NPI 1184655581
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corona Regional Medical Center
- General Acute Care Hospital
- Corona, CA
- NPI 1457347239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1609958180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 SCENIC AVE",
"address_2": "STE. 100",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92626",
"telephone_number": "714-436-4444",
"fax_number": "714-436-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD",
"address_2": "GRECC (11G) VAGLAHS",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90073",
"telephone_number": "310-478-3711",
"fax_number": "310-268-4842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN-HUDSON",
"first_name": "ALIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "A89051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.
- 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.