Provider Demographics
NPI:1457394801
Name:AMIN, ALPESH NAVIN (MD)
Entity type:Individual
Prefix:
First Name:ALPESH
Middle Name:NAVIN
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 54509
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90054-0509
Mailing Address - Country:US
Mailing Address - Phone:714-456-8068
Mailing Address - Fax:714-456-3765
Practice Address - Street 1:101 THE CITY DR S
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3201
Practice Address - Country:US
Practice Address - Phone:714-456-8068
Practice Address - Fax:714-456-3765
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55162207Q00000X, 207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A551620OtherMEDI-CAL PROVIDER #
CA10065489OtherRAILROAD PROVIDER #
CAP00016049OtherRAILROAD PROVIDER #
CAP00016049OtherRAILROAD PROVIDER #
CAWA55162BMedicare ID - Type UnspecifiedMEDICARE PROVIDER #
CAWA55162CMedicare ID - Type UnspecifiedMEDICARE PROVIDER #
CA10065489OtherRAILROAD PROVIDER #
CAG98667Medicare UPIN