ALPHA DIAGNOSTICS, P.C. (NPI# 1144418229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144418229 |
| Entity Type | Organization |
| Organization Name | ALPHA DIAGNOSTICS, P.C. |
| Practice Address |
1112 Montana Ave #900 Santa Monica CA 90403-1652 |
| Practice Telephone | 8552574239 |
| Mailing Telephone | 8552574239 |
| Enumeration Date | 2007-10-14 |
| Last Update Date | 2013-02-12 |
| Authorized Official Name | TIMOTHY TAYLOR DAVIS (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8552574239 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
1112 MONTANA AVE #900 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619008091 | Bruce A. Rush | Psychologist | 1112 Montana Ave, Santa Monica, CA 90403-1652 | 2007-03-08 |
| 1285008748 | Inndydozzer | Naturopath | 1112 Montana Ave, Suite 243, Santa Monica, CA 90403-1652 | 2015-11-20 |
| 1235536251 | Kathryn Harrold | Marriage & Family Therapist | 1112 Montana Ave, Santa Monica, CA 90403-1652 | 2014-11-20 |
| 1275839672 | Jehangeer Sunderji | General Practice | 1112 Montana Ave, Suite 157, Santa Monica, CA 90403-1652 | 2011-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851785851 | Phyzmed Associates Inc | Physiological Laboratory | 2801 Wilshire Blvd Ste A, Santa Monica, CA 90403-4801 | 2015-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508581 | Alivecor Labs LLC | Physiological Laboratory | 444 Castro St, Mountain View, CA 94041-2017 | 2020-11-02 |
| 1821604265 | Arvia Diagnostics, Inc. | Physiological Laboratory | 356 E Olive Ave Ste 108, Burbank, CA 91502-1261 | 2020-09-21 |
| 1003429945 | Akaal Organics LLC | Physiological Laboratory | 1730 Canal Ave, Long Beach, CA 90813-1223 | 2020-08-29 |
| 1447803861 | Marin Petct Imaging, LLC | Physiological Laboratory | 4000 Civic Center Dr Ste 110, San Rafael, CA 94903-5232 | 2019-07-24 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1598238834 | Laboratory Environment LLC | Physiological Laboratory | 1436 S La Cienega Blvd Ste 208, Los Angeles, CA 90035-3761 | 2019-01-09 |
| 1508336371 | Ultratech Services | Physiological Laboratory | 118 W Stocker St # 3, Glendale, CA 91202-2509 | 2018-12-04 |
| 1710457015 | Peak Pulmonary Services LLC | Physiological Laboratory | 1447 Blue Jay Ct, Tracy, CA 95376-8353 | 2018-11-29 |
| 1306313648 | O.n. Diagnostics, LLC | Physiological Laboratory | 2150 Shattuck Ave Ste 610, Berkeley, CA 94704-1347 | 2018-10-24 |
| 1447731948 | Fountain Valley Regional Sleep Center LLC | Physiological Laboratory | 24953 Paseo De Valencia Ste 3a, Laguna Hills, CA 92653-4342 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
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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.