Dhia A Alwardi, MD
Individual provider Active NPI Neuromusculoskeletal Medicine & OMM Physician · Alhambra, CA
NPI 1831278712 · NPPES record last updated Dec 13, 2007
Key facts
- NPI
- 1831278712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician 204D00000X
- License
- A25184 (CA)
- Practice address
- 225 W Main St
Alhambra, CA 91801-3403 - Phone
- (626) 281-7775
- Fax
- (626) 281-2574
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 1964
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
225 W Main St
Alhambra, CA 91801-3403
Hospital & facility affiliations
- Greater El Monte Community Hospital
- San Gabriel Valley Medical Center
- Alhambra Hospital Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120202000856 | CA | Practitioner - Neurology |
2264629617 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25184 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | A25184 | CA | Yes |
Addresses
Primary practice location
225 W Main St
Alhambra, CA 91801-3403
Mailing address
225 W Main St
Alhambra, CA 91801-3403
Phone (626) 281-7775
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A251840 | Medicaid | CA |
Other providers in Alhambra, CA
- Clarissa L Alvarado
- Jennifer Alexandra Alvarado
- Leisly Guadalupe Alvarado
- Omar Alvarado
- Keila Alvarez
- Eternity Renay Amador
- Geovanny Amador
- Alexandra Amaro
- Amg Medical,Inc
- Amg, a Professional Medical Corporation
All providers in Alhambra, CA · Neuromusculoskeletal Medicine & OMM Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.