Individual provider Active NPI

Alan Jeffrey Fisher, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Arcadia, CA
National Provider Identifier
1639174576
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
G44121 Issued in CA
Practice address
612 W Duarte Rd
Ste 705
Arcadia, CA 91007-9246
Phone
(626) 445-3301
Fax
(626) 445-1020
NPI assigned
Jun 16, 2005
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G44121 CA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X G44121 CA Primary

Addresses

Primary practice location

612 W Duarte Rd
Ste 705
Arcadia, CA 91007-9246

Mailing address

612 W Duarte Rd
Ste 705
Arcadia, CA 91007-9246
Phone (626) 445-3301

Other identifiers 1

IdentifierTypeStateIssuer
00G441210MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070710000453 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 8022060516 Reassigns benefits to 1 organization
Practice locations: Arcadia, CA

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

612 W Duarte Rd
Suite 705
Arcadia, CA 91007-9246
Phone (626) 445-3301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G44121CAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hear MD, Inc. CurrentSince Jun 22, 2025 Accepting new patients
Specialty Surgical Center of Arcadia, LLC Current Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

51 N 5th Ave
Ste 101
Arcadia, CA 91006
Phone (626) 471-9901

612 W Duarte Rd
Ste 705
Arcadia, CA 91007
Phone (626) 445-3301

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1639174576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "STE 705",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079246",
            "telephone_number": "626-445-3301",
            "fax_number": "626-445-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "STE 705",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079246",
            "telephone_number": "626-445-3301",
            "fax_number": "626-445-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ALAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G44121",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "G44121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G441210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.