Doris Alan
Nurse Practitioner, Family in Upland, CA. Individual provider (NPI-1).
NPI number1558023754
StatusActive
Last updated in NPPESOct 6, 2021
Details
- NPI
- 1558023754
- Entity type
- Individual (NPI-1)
- Name
- Doris Alan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 6, 2021
- Certification date
- Oct 6, 2021
- Last updated
- Oct 6, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95018686 | CA | Yes |
Practice location
1310 San Bernardino Rd Ste 201Upland, CA 91786-4985
Phone 909-579-0806
Mailing address
15197 Crane StFontana, CA 92336-0207
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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