Active NPI
Alina Skwarcan, CPO
- Orthotist
- Whittier, CA
National Provider Identifier
1851990402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- O006200
- Practice address
- 12200 Washington Blvd Ste M
Whittier, CA 90606-2579 - Phone
- (562) 945-4920
- Fax
- (562) 945-9360
- NPI assigned
- Oct 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | |||
| Orthotist | 222Z00000X | O006200 | CA | Primary |
Addresses
Primary practice location
12200 Washington Blvd Ste M
Whittier, CA 90606-2579
Mailing address
12200 Washington Blvd Ste M
Whittier, CA 90606-2579
Phone (562) 945-4920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GXC000190 | Other | CA | MEDICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O006200 | CA | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1851990402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 WASHINGTON BLVD STE M",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906062579",
"telephone_number": "562-945-4920",
"fax_number": "562-945-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 WASHINGTON BLVD STE M",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906062579",
"telephone_number": "562-945-4920",
"fax_number": "562-945-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKWARCAN",
"first_name": "ALINA",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-23",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": "O006200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "GXC000190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.