Organization Active NPI

Alberto Alonso, MD, Inc.

  • Internal Medicine Physician
  • Huntington Park, CA
National Provider Identifier
1790128296
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A102197 Issued in CA
Legal business name
ALBERTO ALONSO, MD, INC.
Practice address
6611 Seville Ave
Huntington Park, CA 90255
Phone
(562) 881-3043
Fax
(323) 815-1827
NPI assigned
Apr 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Mr. Alberto Alonso, M.D.NPI 1669621058
Title
Medico-Director
Phone
(562) 881-3043

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A102197 CA Primary

Addresses

Primary practice location

6611 Seville Ave
Huntington Park, CA 90255

Mailing address

10436 Downey Ave
Downey, CA 90241
Phone (562) 881-3043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130605000374 CA Part B Supplier - Clinic/Group Practice 2769620665 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Park, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1790128296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10436 DOWNEY AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90241",
            "telephone_number": "562-881-3043",
            "fax_number": "323-815-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "562-881-3043",
            "fax_number": "323-815-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTO ALONSO, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "MEDICO-DIRECTOR",
        "authorized_official_telephone_number": "562-881-3043",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A102197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.

Verify at the official NPI Registry.