Active NPI
Alexander Kassar MD Inc
- Pulmonary Disease Physician
- Pomona, CA
National Provider Identifier
1720612948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- ALEXANDER KASSAR MD INC
- Practice address
- 255 E Bonita Ave
Pomona, CA 91767-1923 - Phone
- (909) 450-0158
- NPI assigned
- Feb 26, 2020
- 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. Alexander George Kassar, MD
- Title
- Ceo
- Phone
- (626) 914-5219
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
255 E Bonita Ave
Pomona, CA 91767-1923
Mailing address
1822 E Route 66 Ste a
Glendora, CA 91740-3800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.officeally.com/sLogin.aspx |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Glendora, CA
- NPI 1588008767
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1720612948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 E ROUTE 66 STE A",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917403800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E BONITA AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917671923",
"telephone_number": "909-450-0158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDER KASSAR MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-26",
"last_updated": "2023-09-06",
"certification_date": "2021-04-10",
"status": "A",
"authorized_official_last_name": "KASSAR",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-914-5219",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.officeally.com/sLogin.aspx",
"affiliation": "N",
"address_1": "1221 N Sycamore Ave Apt 5",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900381099",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 6, 2023; 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.