ALEXANDER MEDICAL GROUP (NPI# 1720148703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720148703 |
| Entity Type | Organization |
| Organization Name | ALEXANDER MEDICAL GROUP |
| Practice Address |
1711 Via El Prado Suite 202 Redondo Beach CA 90277-5714 |
| Practice Telephone | 3103161764 |
| Mailing Telephone | 3103161764 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-03-30 |
| Authorized Official Name | DR. GEORGE ERIC ALEXANDER (DOCTOR) |
| Authorized Official Telephone | 3103161764 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
A44796 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE ID | A44796 | 01 |
| Street Address |
1711 VIA EL PRADO SUITE 202 |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063499572 | Leland Gilbert Whitson | Family Medicine | 1711 Via El Prado, Suite 201, Redondo Beach, CA 90277-5714 | 2005-12-27 |
| 1083223127 | Shannon Denise Dunn | Social Worker | 1711 Via El Prado, Redondo Beach, CA 90277-5714 | 2020-07-24 |
| 1114306354 | Gregory Shvartsman Dds Dental Corporation | Dentist | 1711 Via El Prado, Ste 400b, Redondo Beach, CA 90277-5714 | 2015-05-20 |
| 1558619783 | Gregory Igor Shvartsman | Dentist | 1711 Via El Prado, Ste 400b, Redondo Beach, CA 90277-5714 | 2012-08-20 |
| 1104198043 | Leland G Whitson Md Inc | Preferred Provider Organization | 1711 Via El Prado, Suite 201, Redondo Beach, CA 90277-5714 | 2012-02-08 |
| 1083922363 | Sabrina Renee Besson | Speech-Language Pathologist | 1711 Via El Prado, Suite 301, Redondo Beach, CA 90277-5714 | 2010-09-20 |
| 1558686832 | George Eric Alexander A Medical Corporation | Anesthesiology | 1711 Via El Prado, Suite 202, Redondo Beach, CA 90277-5714 | 2010-03-30 |
| 1821233891 | Denise Marie Mcdermott | Psychologist | 1711 Via El Prado, Suite 302, Redondo Beach, CA 90277-5714 | 2008-12-04 |
| 1083875694 | John Louis Vicelja | Dentist | 1711 Via El Prado, 303, Redondo Beach, CA 90277-5714 | 2008-06-17 |
| 1881860120 | Rhoda S Ross | Dentist | 1711 Via El Prado, Ste 303, Redondo Beach, CA 90277-5714 | 2008-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1982904892 | Luminous Skin Dermatology and Cosmetic Institute Inc | Clinic/Center | 119 W Torrance Blvd, Suite 7, Redondo Beach, CA 90277-3600 | 2010-10-26 |
| 1427677210 | Mindful Weight Loss | Clinic/Center | 510 N Prospect Ave Ste 301, Redondo Beach, CA 90277-3030 | 2020-04-11 |
| 1225463797 | Los Angeles Ent Facial Plastics Center, Inc | Clinic/Center | 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277-3041 | 2013-09-03 |
| 1952552416 | Keith A. Marcus, Md Inc. | Clinic/Center | 1815 Via El Prado, Suite 102, Redondo Beach, CA 90277-5722 | 2008-10-02 |
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| 1003449703 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 3105 Mchenry Ave Ste 101, Modesto, CA 95350-1439 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.