Active NPI
Juan Atlacatl Alas-Pocasangre, M.D.
- Family Medicine Physician
- La Puente, CA
National Provider Identifier
1720189186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A56155
- Practice address
- 18335 Valley Blvd
La Puente, CA 91744-5968 - Phone
- (626) 810-3330
- Fax
- (626) 964-0440
- NPI assigned
- Sep 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A56155 | CA | Primary |
Addresses
Primary practice location
18335 Valley Blvd
La Puente, CA 91744-5968
Mailing address
18335 Valley Blvd
La Puente, CA 91744-5968
Phone (626) 810-3330
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
325 E la Habra Blvd
La Habra, CA 90631-5439
Phone (562) 691-7100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56155 | CA | MD | Pharmacist |
| A56155 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Antonio Medical Clinic, Inc. | Current | Accepting new patients | |
| Alas Medical Clinic, Inc. | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients |
Locations
325 E La Habra Blvd
La Habra, CA 90631
Phone (562) 691-7100
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Primary Care Clinic/Center
- La Habra, CA
- NPI 1285845503
-
- Primary Care Clinic/Center
- Azusa, CA
- NPI 1063623387
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720189186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18335 VALLEY BLVD",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917445968",
"telephone_number": "626-810-3330",
"fax_number": "626-964-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18335 VALLEY BLVD",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917445968",
"telephone_number": "626-810-3330",
"fax_number": "626-964-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAS-POCASANGRE",
"first_name": "JUAN",
"middle_name": "ATLACATL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A56155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.