Individual provider Active NPI

Alfred Luis Cisneros, M.D.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1689895856
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G37626 Issued in CA
Practice address
4137 Verdugo Rd
Los Angeles, CA 90065-3820
Phone
(323) 344-9255
Fax
(323) 344-8776
NPI assigned
May 2, 2007
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G37626 CA Primary

Addresses

Primary practice location

4137 Verdugo Rd
Los Angeles, CA 90065-3820

Mailing address

1535 E Colorado St
Glendale, CA 91205-1513

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
I20200106001870 CA Practitioner - General PracticePractitioner - Obstetrics/Gynecology 4880028612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Obstetrics/Gynecology
Education
University of California, San Diego School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affordable Medical Center and Urgent Care IncGroup PAC ID 1658704549, 2 clinicians

Practice addresses (Care Compare)

5300 Santa Monica Blvd
Suite 304
Los Angeles, CA 90029-1259
Phone (323) 300-5266

6308 Woodman Ave
Suite 101
Van Nuys, CA 91401-2367
Phone (619) 252-1210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G37626CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Wound Care CurrentSince Feb 1, 2025 Accepting new patients
Affordable Medical Center & Urgent Care Inc CurrentSince Oct 15, 2019 Accepting new patients
Advanced Reflection Inc Past Accepting new patients

Locations

5300 Santa Monica Blvd
Ste 304
Los Angeles, CA 90029
Phone (323) 300-5266

819 S Vermont Ave
Los Angeles, CA 90005
Phone (323) 255-5818

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

6308 Woodman Ave
Ste 101
Van Nuys, CA 91401
Phone (619) 252-1210

Organizations & group practices 3

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1689895856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 E COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653820",
            "telephone_number": "323-344-9255",
            "fax_number": "323-344-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "ALFRED",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G37626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.