Active NPI
Alexander Medical Group
- Medical Specialty Clinic/Center
- Redondo Beach, CA
National Provider Identifier
1720148703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- A44796
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A44796 | Other | CA | MEDICARE ID |
National Provider Directory
National Provider DirectoryNPI 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.