Organization Active NPI

Alfredo Sweeny, MD Inc

Doing business as Sunset Family Medical Clinic

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1962538173
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A25070 Issued in CA
Legal business name
ALFREDO SWEENY, MD INC
Doing business as
Sunset Family Medical Clinic
Practice address
4719 S Broadway
Los Angeles, CA 90037-3244
Phone
(323) 231-9983
Fax
(323) 231-9971
NPI assigned
Feb 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alfredo Enrique Sweeny, MDNPI 1063588846
Title
Medical Director
Phone
(323) 231-9983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A25070 CA Primary

Addresses

Primary practice location

4719 S Broadway
Los Angeles, CA 90037-3244

Mailing address

4719 S Broadway
Los Angeles, CA 90037-3244
Phone (323) 231-9983

Other identifiers 2

IdentifierTypeStateIssuer
00A250701MedicaidCA
GR0089100MedicaidCA

Other names 1

  • SUNSET FAMILY MEDICAL CLINIC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0960201Sunset Family Medical Clinic4719 S Broadway, Los Angeles, CA 90037Certificate of waiverMay 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Alfredo Sweeny MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4719 S Broadway
Los Angeles, CA 90037
Phone (323) 231-9983

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962538173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373244",
            "telephone_number": "323-231-9983",
            "fax_number": "323-231-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373244",
            "telephone_number": "323-231-9983",
            "fax_number": "323-231-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFREDO SWEENY, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWEENY",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-231-9983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A25070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A250701",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSET FAMILY MEDICAL CLINIC",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.