NPIMap

Organization Active NPI

U.S. Healthworks Medical Group of Alaska, LLC

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Valencia, CA
National Provider Identifier
1841270337
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
Legal business name
U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC
Practice address
25124 Springfield CT
Suite 200
Valencia, CA 91355-1085
Phone
(661) 678-2600
Fax
(661) 678-2700
NPI assigned
Jan 19, 2006
Last updated
Dec 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Mr. Joseph T. Mallas
Title
Executive VP
Phone
(661) 678-2600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X NU Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

25124 Springfield CT
Suite 200
Valencia, CA 91355-1085

Mailing address

25124 Springfield Court
Suite 200
Valencia, CA 91355-1085
Phone (661) 678-2600

Other identifiers 12

IdentifierTypeStateIssuer
02D0640776OtherAKCLIA - PCA
MDG2693MedicaidAK
02D0674243OtherAKCLIA - HUFFMAN CLINIC
02D0991092OtherAKCLIA - LOUC
MDG2692MedicaidAK
209000700OtherAKDEPT. OF LABOR - LOUC
209000703OtherAKDEPT. OF LABOR - HUFFMAN
MDG269MedicaidAK
MDG2691MedicaidAK
02D0943068OtherAKCLIA - EAGLE RIVER CLINIC
209000701OtherAKDEPT. OF LABOR - PCA
209000702OtherAKDEPT. OF LABOR - EAGLE RI

National Provider Directory

National Provider Directory

Locations

4100 Lake Otis Pkwy
Ste 100
Anchorage, AK 99508
Phone (907) 563-4006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1841270337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25124 SPRINGFIELD COURT",
            "address_2": "SUITE 200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551085",
            "telephone_number": "661-678-2600",
            "fax_number": "661-678-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25124 SPRINGFIELD CT",
            "address_2": "SUITE 200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551085",
            "telephone_number": "661-678-2600",
            "fax_number": "661-678-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "MALLAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "661-678-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA - PCA",
            "identifier": "02D0640776",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG2693",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA - HUFFMAN CLINIC",
            "identifier": "02D0674243",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA - LOUC",
            "identifier": "02D0991092",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG2692",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR - LOUC",
            "identifier": "209000700",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR - HUFFMAN",
            "identifier": "209000703",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG269",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG2691",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA - EAGLE RIVER CLINIC",
            "identifier": "02D0943068",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR - PCA",
            "identifier": "209000701",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR - EAGLE RI",
            "identifier": "209000702",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.