Active NPI
Alan John Conrad, MD
- Hospitalist Physician
- Poway, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- G48437
- 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, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G48437 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians Inc | Internal Medicine | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Neighborhood Healthcare - Grand Ave | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare - Escondido | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare - Pediatrics | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare Lakeside | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare Valley Parkway | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Valley Center | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| El Cajon | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Temecula | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare- Menifee | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare - Prenatal | Federally qualified health center | Corporate Director | Jan 14, 2019 |
| Neighborhodd Healthcare- Gold Family Health Center | Federally qualified health center | Corporate Director | Jan 14, 2019 |
| Neighborhood Healthcare Temecula Parkway | Federally qualified health center | Corporate Director | Aug 1, 2021 |
| Neighborhood Healthcare Downtown Escondido | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare- Fallbrook | Federally qualified health center | Corporate Director | Aug 1, 2021 |
| Neighborhood Healthcare - Washington Ave | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare Menifee Suite C | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare- Arlanza Family Health Center | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare- Eastside Health Center | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare- Eastside Health Center BLDG. B | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare- Riverside | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare- Corona | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare - Mollison | Federally qualified health center | Corporate Director | Mar 8, 2017 |
| Neighborhood Healthcare- Mead Valley | Federally qualified health center | Other | Mar 8, 2017 |
| Neighborhood Healthcare- Beaumont | 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.
-
- Federally Qualified Health Center (FQHC)
- Poway, CA
- NPI 1023518768
Corporate Director
-
dba Neighborhood Healthcare-Temecula Pkwy
- Federally Qualified Health Center (FQHC)
- Temecula, CA
- NPI 1083225205
Corporate Director
-
dba Neighborhood Healthcare - Devonshire Avenue
- Federally Qualified Health Center (FQHC)
- Hemet, CA
- NPI 1154786846
Corporate Director
-
dba Neighborhood Healthcare - Mead Valley
- Federally Qualified Health Center (FQHC)
- Perris, CA
- NPI 1235985219
Other
-
dba Neighborhood Healthcare - Pediatrics & Prenatal
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1265618185
Corporate Director
-
dba Neighborhood Healthcare - Valley Center
- Federally Qualified Health Center (FQHC)
- Valley Center, CA
- NPI 1407031693
Corporate Director
-
dba Neighborhood Healthcare San Marcos
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1407578255
Corporate Director
-
dba Neighborhood Healthcare- Fallbrook
- Federally Qualified Health Center (FQHC)
- Fallbrook, CA
- NPI 1417604497
Corporate Director
-
dba Neighborhood Healthcare - Temecula
- Federally Qualified Health Center (FQHC)
- Temecula, CA
- NPI 1437335148
Corporate Director
-
dba Neighborhood Healthcare - Ray M Dickinson Wellness Center
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1437335353
Corporate Director
-
dba Neighborhood Healthcare Riverside
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1447847207
Corporate Director
-
dba Neighborhood Healthcare - Grand Ave
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1487826772
Corporate Director
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.
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.