Individual provider Active NPI

Alia Alaweneh, D.O.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1720456247
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A15473 Issued in CA
Practice address
700 N Brand Blvd Ste 1400
Glendale, CA 91203-4263
Phone
(818) 839-5200
NPI assigned
Sep 15, 2015
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A15473 CA Primary

Addresses

Primary practice location

700 N Brand Blvd Ste 1400
Glendale, CA 91203-4263

Mailing address

700 N Brand Blvd Ste 1400
Glendale, CA 91203-4263

Other practice location 1

3033 W Orange Ave
Anaheim, CA 92804-3156
Phone (714) 827-3000

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
I20181126003424 CA Practitioner - Internal Medicine 9133473481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apollomed Hospitalists a Medical CorporationGroup PAC ID 5991857708, 31 clinicians

Practice addresses (Care Compare)

525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (818) 839-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15473CAMDAddiction (Substance Use Disorder) Counselor
20A15473CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Astrana Care Hospitalists, a Medical Corporation CurrentSince Oct 1, 2018 Accepting new patients

Locations

1680 S Garfield Ave
Ste 204
Alhambra, CA 91801
Phone (818) 839-5100

700 N Brand Blvd
Ste 1400
Glendale, CA 91203
Phone (818) 839-5186

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

Organizations & group practices 1

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 1

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1720456247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N BRAND BLVD STE 1400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N BRAND BLVD STE 1400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034263",
            "telephone_number": "818-839-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 W Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043156",
            "country_code": "US",
            "telephone_number": "714-827-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAWENEH",
        "first_name": "ALIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A15473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.