Allcare Family Clinic Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A85576 Issued in CA

Legal business name

ALLCARE FAMILY CLINIC INC.

Practice address

1781 3Rd St
Norco, CA 92860

Phone

(951) 279-4900

Fax

(951) 279-4111

NPI assigned

Feb 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Martin T Ahn, M.D.NPI 1649342171

Title

President

Phone

(714) 525-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Allcare Family Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Martin Taehung Ahn, M.D.

  • Family Medicine Physician
  • Buena Park, CA
  • NPI 1649342171
  Medicare reassignment NPD Authorized official
• Caitlyn Jeein Park

  • Family Nurse Practitioner
  • Buena Park, CA
  • NPI 1003462722
  Medicare reassignment NPD
• Soojin Yu, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Norco, CA
  • NPI 1003277260
  Medicare reassignment NPD

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1972742328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 3RD ST",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602670",
            "telephone_number": "951-279-4900",
            "fax_number": "951-279-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 3RD ST",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "92860",
            "telephone_number": "951-279-4900",
            "fax_number": "951-279-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE FAMILY CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-525-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CI236A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allcare Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allcare Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marieum Ahmad
• Fara Aidul
• Ihab Ahmed Ghalib Al-Jbara
• Fazlollah Aldavoud, PHD
• Ariana Montes Aldon, PPS
• Rana Alrzoog, DDS
• Armando Altamirano, PMHNP-BC
• Kathleen Altares
• Desiree Monique Alvarado
• Alexandra Marie Alvarez

• Family Medicine Physician in Norco, CA
• Providers in Norco, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.