Organization Active NPI

Alaa M. Latif, M.D., Inc.

  • Hematology & Oncology Physician
  • Pomona, CA
National Provider Identifier
1710187448
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ALAA M. LATIF, M.D., INC.
Practice address
1900 Royalty Dr Ste 140
Pomona, CA 91767-3044
Phone
(909) 620-0200
Fax
(909) 620-0220
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Dr. Alaa Latif, M.D.NPI 1619965506
Title
Owner
Phone
(626) 857-1992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1900 Royalty Dr Ste 140
Pomona, CA 91767-3044

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00A519552MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080225000302 CA Part B Supplier - Clinic/Group Practice 9830273259 Receives reassigned benefits from 1 practitioner
Practice locations: Pomona, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1710187448",
    "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": "1900 ROYALTY DR STE 140",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673044",
            "telephone_number": "909-620-0200",
            "fax_number": "909-620-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAA M. LATIF, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "ALAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-857-1992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A519552",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.