Individual provider Active NPI

Alexandra Titone

  • Family Medicine Physician
  • Pacific Palisades, CA
National Provider Identifier
1730482092
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A11391 Issued in CA
Practice address
910 Via de la Paz Ste 100
Pacific Palisades, CA 90272-3538
Phone
(310) 459-1901
NPI assigned
Dec 8, 2010
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0059299 CO
Family Medicine Physician 207Q00000X OS14404 FL
Family Medicine Physician 207Q00000X 269569 MA
Family Medicine Physician 207Q00000X 5101022925 MI
Family Medicine Physician 207Q00000X 62731 MN
Family Medicine Physician 207Q00000X 1610 NE
Family Medicine Physician 207Q00000X DO2396 NV
Family Medicine Physician 207Q00000X 259267 NY
Family Medicine Physician 207Q00000X OS018957 PA
Family Medicine Physician 207Q00000X P4253 TX
Family Medicine Physician 207Q00000X 3239 WV
Family Medicine Physician 207Q00000X 0102205396 VA
Family Medicine Physician 207Q00000X 20A11391 CA Primary

Addresses

Primary practice location

910 Via de la Paz Ste 100
Pacific Palisades, CA 90272-3538

Mailing address

910 Via de la Paz Suite 100
Pacific Palisades, CA 90272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130318000134 TX Practitioner - Family Practice 7012152234 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A11391CAMDFamily Medicine Physician
DR.0059299COMDFamily Medicine Physician
62731MNMDFamily Medicine Physician
259267NYMDFamily Medicine Physician
OS018957PAMDFamily Medicine Physician
P2549TXMDAddiction Medicine (Internal Medicine) Physician
3239WVMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C Family Medicine CurrentSince Apr 18, 2024 Accepting new patients
David R. Ferrell, M.D., P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1730482092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ SUITE 100",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "90272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ STE 100",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723538",
            "telephone_number": "310-459-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITONE",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0059299",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14404",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "269569",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101022925",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "62731",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "1610",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2396",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "259267",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018957",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4253",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3239",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102205396",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

Verify at the official NPI Registry.