Organization Active NPI

Alfa Allied Medical Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1912182684
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A76158 Issued in CA
Legal business name
ALFA ALLIED MEDICAL GROUP INC
Doing business as
Alfa Allied Medical Group Inc
Practice address
1005 E Washington Blvd
Los Angeles, CA 90021-3020
Phone
(213) 745-3636
Fax
(213) 745-3626
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Hector Castillo, M.D
Title
President
Phone
(213) 745-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A76158 CA Primary

Addresses

Primary practice location

1005 E Washington Blvd
Los Angeles, CA 90021-3020

Mailing address

1005 E Washington Blvd
Los Angeles, CA 90021-3020
Phone (213) 745-3636

Other identifiers 2

IdentifierTypeStateIssuer
00A929650MedicaidCA
00A761580MedicaidCA

Other names 1

  • ALFA ALLIED MEDICAL GROUP INC Doing business as

National Provider Directory

National Provider Directory

Locations

1005 E Washington Blvd
Los Angeles, CA 90021
Phone (213) 745-3636

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1912182684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900213020",
            "telephone_number": "213-745-3636",
            "fax_number": "213-745-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900213020",
            "telephone_number": "213-745-3636",
            "fax_number": "213-745-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA ALLIED MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-745-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A929650",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A761580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALFA ALLIED MEDICAL GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.