Individual provider Active NPI

Alia Khan-Hudson, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1609958180
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A89051 Issued in CA
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

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060222000487 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1052327467 Reassigns benefits to 5 organizations
I20210305001159 NE Practitioner - Internal MedicinePractitioner - Hospitalist 1052327467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corona Hospitalist Medical Group, IncGroup PAC ID 0244484525, 14 clinicians

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

LicenseStateTypeSpecialty
A89051CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Fountain Valley Group Services PC CurrentSince Feb 25, 2017 Accepting new patients
Corona Hospitalist Medical Group, Inc. CurrentSince Aug 26, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 18, 2011 Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince Apr 1, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 18, 2011 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.