Individual provider Active NPI

Alan John Conrad, MD

  • Hospitalist Physician
  • Poway, CA
National Provider Identifier
1972604627
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
G48437 Issued in CA
Practice address
15721 Pomerado Road
Poway, CA 92064-2021
Phone
(858) 485-6644
Fax
(858) 618-5976
NPI assigned
Sep 26, 2006
Last updated
Sep 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G48437 CA
Hospitalist Physician 208M00000X G48437 CA Primary

Addresses

Primary practice location

15721 Pomerado Road
Poway, CA 92064-2021

Mailing address

15721 Pomerado Road
Poway, CA 92064-2021
Phone (858) 485-6644

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101124000172 CA Practitioner - Internal Medicine 0840218806 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G48437CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince May 1, 2017 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince May 1, 2017 Accepting new patients

Locations

2185 Citracado Pkwy
#1182
Escondido, CA 92029
Phone (805) 473-7626

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

Ownership & related parties

All facility ownership & control disclosures 27

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Neighborhood Healthcare - Grand AveEscondido, CA, CCN 551867 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare - EscondidoEscondido, CA, CCN 551866 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare - PediatricsEscondido, CA, CCN 551065 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare LakesideLakeside, CA, CCN 551077 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare Valley ParkwayEscondido, CA, CCN 551080 Federally qualified health center Corporate Director Mar 8, 2017
Valley CenterValley Center, CA, CCN 551103 Federally qualified health center Corporate Director Mar 8, 2017
El CajonEl Cajon, CA, CCN 551079 Federally qualified health center Corporate Director Mar 8, 2017
TemeculaTemecula, CA, CCN 551091 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood HealthcareEscondido, CA, CCN 551173 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare- MenifeeMenifee, CA, CCN 751154 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood HealthcareHemet, CA, CCN 751920 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare - PrenatalEscondido, CA, CCN 921141 Federally qualified health center Corporate Director Jan 14, 2019
Neighborhodd Healthcare- Gold Family Health CenterPoway, CA, CCN 921149 Federally qualified health center Corporate Director Jan 14, 2019
Neighborhood Healthcare Temecula ParkwayTemecula, CA, CCN A01086 Federally qualified health center Corporate Director Aug 1, 2021
Neighborhood Healthcare Downtown EscondidoEscondido, CA, CCN A01090 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare- FallbrookFallbrook, CA, CCN A01100 Federally qualified health center Corporate Director Aug 1, 2021
Neighborhood Healthcare - Washington AveEscondido, CA, CCN A01104 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare Menifee Suite CMenifee, CA, CCN A01121 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare- Arlanza Family Health CenterRiverside, CA, CCN A01162 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare- Eastside Health CenterRiverside, CA, CCN A01156 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare- Eastside Health Center BLDG. BRiverside, CA, CCN A01157 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood HealthcareSan Marcos, CA, CCN A01158 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare- RiversideRiverside, CA, CCN A01159 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare- CoronaCorona, CA, CCN A01809 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare - MollisonEl Cajon, CA, CCN A01834 Federally qualified health center Corporate Director Mar 8, 2017
Neighborhood Healthcare- Mead ValleyPerris, CA, CCN A01982 Federally qualified health center Other Mar 8, 2017
Neighborhood Healthcare- BeaumontBeaumont, CA, CCN A11021 Federally qualified health center Other Mar 8, 2017

Owned or controlled facilities with NPI records 28

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 28

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1972604627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15721 POMERADO ROAD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642021",
            "telephone_number": "858-485-6644",
            "fax_number": "858-618-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15721 POMERADO ROAD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642021",
            "telephone_number": "858-485-6644",
            "fax_number": "858-618-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "ALAN",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G48437",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G48437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.