Individual provider Active NPI

Alisha Nicole Pratt, D.O.

  • Family Medicine Physician
  • Turlock, CA
National Provider Identifier
1730319906
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A11336 Issued in CA
Practice address
911 E Tuolumne Rd
Turlock, CA 95382-1543
Phone
(209) 668-4101
Fax
(209) 668-3758
NPI assigned
Jul 21, 2009
Last updated
Jul 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A11336 CA Primary

Addresses

Primary practice location

911 E Tuolumne Rd
Turlock, CA 95382-1543

Mailing address

911 E Tuolumne Rd
Turlock, CA 95382-1543
Phone (209) 668-4101

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
I20110407000024 CA Practitioner - Family Practice 2163606633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ronald Johanson, Thomas Wilson, James Maclaren PTRSGroup PAC ID 5698715779, 4 clinicians

Practice addresses (Care Compare)

911 E Tuolumne Rd
Turlock, CA 95382-1543
Phone (209) 668-4101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.31 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
74.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11336CAMDPharmacotherapy Pharmacist
20A11336CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Johanson, Thomas Wilson, James Maclaren PTRS Family Medicine CurrentSince Aug 1, 2012 Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients

Locations

911 E Tuolumne Rd
Turlock, CA 95382
Phone (209) 668-4101

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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 5

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1730319906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E TUOLUMNE RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821543",
            "telephone_number": "209-668-4101",
            "fax_number": "209-668-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E TUOLUMNE RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821543",
            "telephone_number": "209-668-4101",
            "fax_number": "209-668-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "ALISHA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.