Jose Maria Alanis Amezcua, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A54215 Issued in CA

Practice address

185 West San Ysidro Blvd
San Ysidro, CA 92173

Phone

(619) 428-1103

Fax

(619) 428-4265

NPI assigned

Oct 27, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jalanisamezcua42834@scrippshlth.medalliesdirect.net

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.

• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment NPD
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962588376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WEST SAN YSIDRO BLVD",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "92173",
            "telephone_number": "619-428-1103",
            "fax_number": "619-428-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WEST SAN YSIDRO BLVD",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "92173",
            "telephone_number": "619-428-1103",
            "fax_number": "619-428-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALANIS AMEZCUA",
        "first_name": "JOSE",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A54215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A542150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizbeth Acuna
• Thomas Anthony Adame
• Miguel Aguilera, PPS SCHOOL PSYCHOLOG
• AIDS Healthcare Foundation (AHF Pharmacy)
• Jose G Akerlundh
• Stephanie Alexander
• Aurelia Allen, NURSE PRACTITIONER
• Natalia Alvarez Maldonado
• Noemi Johanna Arrieta, DO
• Avanti Health Care

• Obstetrics & Gynecology Physician in San Ysidro, CA
• Providers in San Ysidro, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.