Organization Active NPI

Alliance of Latino Health Services Medical Group Inc

  • General Practice Physician
  • Santa Ana, CA
National Provider Identifier
1871083188
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ALLIANCE OF LATINO HEALTH SERVICES MEDICAL GROUP INC
Practice address
517 N Main St Ste 220
Santa Ana, CA 92701-6703
Phone
(657) 267-7263
Fax
(714) 647-0135
NPI assigned
May 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Authorized official

Name
Mushtaq Ahmad Khan, MD
Title
Owner
Phone
(657) 267-7263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

517 N Main St Ste 220
Santa Ana, CA 92701-6703

Mailing address

517 N Main St Ste 220
Santa Ana, CA 92701-6703
Phone (657) 267-7263

National Provider Directory

National Provider Directory

Locations

517 N Main St
Ste 220
Santa Ana, CA 92701
Phone (657) 267-7263

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1871083188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST STE 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927016703",
            "telephone_number": "657-267-7263",
            "fax_number": "714-647-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST STE 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927016703",
            "telephone_number": "657-267-7263",
            "fax_number": "714-647-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE OF LATINO HEALTH SERVICES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUSHTAQ",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "657-267-7263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.