ALLIANCE HEALTHCARE SERVICES INC (NPI# 1760614150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760614150 |
Entity Type | Organization |
Organization Name | ALLIANCE HEALTHCARE SERVICES INC |
Practice Address |
15630 18th Ave Clearlake CA 95422 |
Mailing Address |
18201 Von Karman Ave Ste 600 Irvine CA 92612-1176 |
Practice Telephone | 7079946486 |
Practice Fax Number | 7079943516 |
Mailing Telephone | 9492425300 |
Enumeration Date | 2009-08-18 |
Last Update Date | 2019-12-26 |
Authorized Official Name | WILLIAM LARKIN (CFO) |
Authorized Official Telephone | 9492425300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
CA | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982042693 | Alliance Healthcare Services Inc | Clinic/Center | 3581 E Overland Rd, Meridian, ID 83642-6757 | 2013-06-05 |
1982919411 | Alliance Healthcare Services Inc | Clinic/Center | 4520 E Grant Rd Ste 100, Tucson, AZ 85712-2637 | 2010-08-09 |
1730408170 | Alliance Healthcare Services Inc | Clinic/Center | 1702 16th St, Lewiston, ID 83501-3911 | 2010-05-25 |
1811210362 | Alliance Healthcare Services Inc | Clinic/Center | 3450 Hillcrest Ave, Antioch, CA 94531-8238 | 2010-03-11 |
1821320797 | Alliance Healthcare Services Inc | Clinic/Center | 18201 Von Karman Ave Ste 600, Irvine, CA 92612 | 2010-02-03 |
1447477617 | Alliance Healthcare Services Inc | Clinic/Center | 4599 Towne Centre Rd, Saginaw, MI 48604-2804 | 2007-04-19 |
1619010956 | Alliance Healthcare Services Inc | Clinic/Center | 2924 Mercy Ln, Hyattsville, MD 20785 | 2007-02-15 |
1508935685 | Alliance Healthcare Services Inc | Clinic/Center | 151 Colonia De Salud, Sierra Vista, AZ 85635-8257 | 2006-11-06 |
1023028529 | Alliance Healthcare Services Inc | Clinic/Center | 1300 E Mullan Ave # 700, Post Falls, ID 83854-6052 | 2006-08-08 |
1437649068 | Alliance Healthcare Services Inc | Clinic/Center | 111 W High St, Elkton, MD 21921-5529 | 2018-05-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Alliance HealthCare Services Inc. | 18201 Von Karman Ave Ste 600, Irvine, California 92612 |
Street Address |
15630 18TH AVE |
City | CLEARLAKE |
State | CA |
Zip Code | 95422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124018031 | Adventist Health Clearlake Hospital Inc. | General Acute Care Hospital | 15630 18th Ave, Clearlake, CA 95422-6710 | 2005-10-24 |
1053927608 | Stephenie Hargrove | Nurse Practitioner | 15630 18th Ave, Clearlake, CA 95422-9336 | 2020-09-18 |
1740804368 | Matthew Jasun Lee | Dietitian, Registered | 15630 18th Ave, Clearlake, CA 95422-9336 | 2020-05-29 |
1326404948 | Bhaisaja PC | Anesthesiology | 15630 18th Ave, Clearlake, CA 95422-9336 | 2016-01-12 |
1811362585 | Jennifer A Dowalter Md A Professional Corporation | Internal Medicine | 15630 18th Ave, Clearlake, CA 95422-9336 | 2015-12-07 |
1609255660 | Amber Warner | Social Worker | 15630 18th Ave, Clearlake, CA 95422-9336 | 2015-05-23 |
1356649545 | Laurie K Halversen | Social Worker | 15630 18th Ave, Clearlake, CA 95422-9336 | 2011-03-11 |
1487897047 | Adventist Health Clearlake Hospital Inc. | General Acute Care Hospital | 15630 18th Ave, Clearlake, CA 95422 | 2009-04-13 |
1821237371 | California Em-i Medical Services | Physician Assistant | 15630 18th Ave, Clearlake, CA 95422-9336 | 2009-02-06 |
1023263399 | Konocti Emergency Physicians | Emergency Medicine | 15630 18th Ave, Clearlake, CA 95422-9336 | 2008-11-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
1164655247 | Hector Lara | Counselor | 14130 Lakeshore Dr., Clearlake, CA 95422 | 2009-08-24 |
1518197607 | Vishal V Desai | Pharmacist | 15025, Olympic Drive, Clearlake, CA 95422 | 2009-07-23 |
Find all providers in zip 95422 |
Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
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1679115000 | Del Norte Healthcare District | Clinic/Center | 550 E Washington Blvd Ste 400, Crescent City, CA 95531-8161 | 2019-10-17 |
1144879198 | Southern California Medical Imaging and Open Mri | Clinic/Center | 1809 Verdugo Blvd Ste 100, Glendale, CA 91208-1402 | 2019-09-11 |
1467925016 | Plus Imaging LLC | Clinic/Center | 9555 Foothill Blvd Ste A, Rancho Cucamonga, CA 91730-3576 | 2019-01-07 |
1275026478 | A Step Above Foot Care Inc | Clinic/Center | 3816 Woodruff Ave Ste 302, Long Beach, CA 90808-2146 | 2018-06-12 |
1225542665 | Peak Diagnostic | Clinic/Center | 8901 Activity Rd Ste 103, San Diego, CA 92126-4436 | 2017-11-21 |
1346775665 | Advantage Mri Roseville Lp | Clinic/Center | 2990 Lava Ridge Ct, Suite100, Roseville, CA 95661-3057 | 2017-04-24 |
1821484312 | Access Imaging, LLC | Clinic/Center | 1601 Ives Ave, C & D, Oxnard, CA 93033-1907 | 2015-04-10 |
1083007389 | Access Imaging, LLC | Clinic/Center | 4381 Brockton Ave, Riverside, CA 92501-3470 | 2015-03-11 |
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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.