ALWAN MD INC
NPI 1255573119
Specialist in Upland, CA

Active since March 24, 2009CLIA 05D1018189 · Waiver
1310 SAN BERNARDINO RD, UPLAND, CA 91786(909) 981-9991 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alwan Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALWAN MD INC (NPI 1255573119), doing business as Dr. Alwan'd Office, is a healthcare organization registered as a specialist in Upland, California and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Alex Torres, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1255573119
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALWAN MD INC
Location Address1310 SAN BERNARDINO RDUpland, CA 91786-4979
Mailing Address1310 San Bernardino Rd Ste 205Upland, CA 91786-4985 · (909) 981-9991 · Fax (909) 981-1325
Organization SubpartNo
Authorized OfficialAlex TorresOffice Manager · (909) 981-9991
Enumeration DateMarch 24, 2009
Last NPPES UpdateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
✔ NPI 1255573119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A44569
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
1310 SAN BERNARDINO RD, Upland, CA 91786

Other Names 1

Former Legal Business NameDr. Alwan'd Office

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alwan Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20110901000163Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Alwan MD Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Obstetrics/Gynecology
NPI 1760595029
1310 SAN BERNARDINO RD
Upland, CA 91786
(909) 981-9991
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1023413903
1720 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
(949) 510-4227
✔ PECOS✔ Accepts Medicare34 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1018189

Alwan MD Inc · Upland, CA
Active · expires Oct 14, 2027
CLIA Number05D1018189
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorMonhanad M. Alwan MD
Laboratory Phone(909) 981-9991
Laboratory LocationAlwan MD Inc1310 San Bernardino Rd Ste 205, Upland, CA 91786
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alwan MD Inc's NPI number?

The NPI number for Alwan MD Inc is 1255573119. It was assigned to this organization in the NPPES registry on March 24, 2009. The provider was formerly known as Dr. Alwan'd Office.

Where is Alwan MD Inc located?

Alwan MD Inc is located at 1310 San Bernardino Rd, Upland, CA 91786. The listed phone number is (909) 981-9991.

What is Alwan MD Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Alwan MD Inc enrolled in Medicare?

Yes. Alwan MD Inc is registered in the Medicare PECOS enrollment system.

When is Alwan MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Alwan MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Alwan MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alwan MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1018189) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alwan MD Inc was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.