Anthony Allan Calimquim Alonso, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

64019 Issued in CA

Practice address

18225 Brookhurst St Ste 5
Fountain Valley, CA 92708-6719

Phone

(714) 599-8222

NPI assigned

Feb 7, 2024

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Iqbal Surgical Associates IncGroup PAC ID 5799005757, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iqbal Surgical Associates,Inc.

  dba New Life Surgery

  • Surgery Physician
  • Fountain Valley, CA
  • NPI 1528480753
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  Care Compare affiliation

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1861256117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 SPAHN AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131240",
            "telephone_number": "562-229-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18225 BROOKHURST ST STE 5",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086719",
            "telephone_number": "714-599-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "ANTHONY ALLAN",
        "middle_name": "CALIMQUIM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "64019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Allen, MD
• Alliance Hospice & Palliative Care, Inc.
• Alliance Rehab Inc
• Allied Healthcare
• Allied Hospice LLC
• Alpha Hospitalist Group Inc
• Alpha Medical Supply
• Alpha Medical Supply & Equipment Inc
• Alexis A Alvarez
• Elyssa Alvarez

• Physician Assistant in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.