Organization Active NPI

Alexander Medical Group

  • Medical Specialty Clinic/Center
  • Redondo Beach, CA
National Provider Identifier
1720148703
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A44796 Issued in CA
Legal business name
ALEXANDER MEDICAL GROUP
Practice address
1711 Via El Prado
Suite 202
Redondo Beach, CA 90277-5714
Phone
(310) 316-1764
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Dr. George Eric Alexander, MD
Title
Doctor
Phone
(310) 316-1764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A44796 CA Primary

Addresses

Primary practice location

1711 Via El Prado
Suite 202
Redondo Beach, CA 90277-5714

Mailing address

1711 Via El Prado
Suite 202
Redondo Beach, CA 90277-5714
Phone (310) 316-1764

Other identifiers 1

IdentifierTypeStateIssuer
A44796OtherCAMEDICARE ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1720148703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 VIA EL PRADO",
            "address_2": "SUITE 202",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775714",
            "telephone_number": "310-316-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 VIA EL PRADO",
            "address_2": "SUITE 202",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775714",
            "telephone_number": "310-316-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-316-1764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A44796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "A44796",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.