NPIMap

Individual provider Active NPI

Alaa Latif, MD

  • Specialist
  • Pomona, CA
National Provider Identifier
1619965506
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A51955 Issued in CA
Practice address
1910 Royalty Drive
Pomona, CA 91767-5176
Phone
(909) 630-7290
Fax
(909) 630-7299
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A51955 CA Primary

Addresses

Primary practice location

1910 Royalty Drive
Pomona, CA 91767-5176

Mailing address

1900 Royalty Dr Ste 140
Pomona, CA 91767-3044
Phone (909) 620-0200

Other identifiers 2

IdentifierTypeStateIssuer
00A519552MedicaidCA
WA51955HOtherMEDICARE PTAN

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
I20060228000721 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0446266431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1900 Royalty Dr
Suite 140
Pomona, CA 91767-3044
Phone (951) 218-1924

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51955CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alaa M. Latif, M.D., Inc. CurrentSince Jan 21, 2008 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

1910 Royalty Dr
Pomona, CA 91767
Phone (844) 400-2236

1910 Royalty Dr
Ste 140
Pomona, CA 91767

1900 Royalty Dr
Ste 140
Pomona, CA 91767
Phone (909) 620-0200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 3

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1619965506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR STE 140",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673044",
            "telephone_number": "909-620-0200",
            "fax_number": "909-620-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ROYALTY DRIVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675176",
            "telephone_number": "909-630-7290",
            "fax_number": "909-630-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIF",
        "first_name": "ALAA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2021-10-04",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A51955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A519552",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WA51955H",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.