Individual provider Active NPI

Laith Tawfeeq Alreshaid, MD

  • Emergency Medicine Physician
  • Alhambra, CA
National Provider Identifier
1730529694
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A144334 Issued in CA
Practice address
1000 S Fremont Ave BLDG A9
Office of Revenue Cycle Management Provider Enrollmen
Alhambra, CA 91803-8800
Phone
(626) 457-5848
Fax
(626) 457-4125
NPI assigned
Jun 25, 2013
Last updated
Aug 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301103709 MI
Emergency Medicine Physician 207P00000X A144334 CA Primary

Addresses

Primary practice location

1000 S Fremont Ave BLDG A9
Office of Revenue Cycle Management Provider Enrollmen
Alhambra, CA 91803-8800

Mailing address

4499 Via Marisol
Apt 139
Los Angeles, CA 90042-5147
Phone (626) 437-1991

Other identifiers 1

IdentifierTypeStateIssuer
1730529694OtherCAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144334CAMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1730529694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 VIA MARISOL",
            "address_2": "APT 139",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900425147",
            "telephone_number": "626-437-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S FREMONT AVE BLDG A9",
            "address_2": "OFFICE OF REVENUE CYCLE MANAGEMENT PROVIDER ENROLLMEN",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918038800",
            "telephone_number": "626-457-5848",
            "fax_number": "626-457-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALRESHAID",
        "first_name": "LAITH",
        "middle_name": "TAWFEEQ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301103709",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A144334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1730529694",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.