ALEX IM MD
NPI 1285375980
General Practice in Santa Clara, CA

Q: What is Alex Im's NPI number?

The NPI number for Alex Im is 1285375980. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Alex Im's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Alex Im was last updated on August 24, 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.

Active since April 05, 2022PECOS Enrolled

710 LAWRENCE EXPY DEPT 384, SANTA CLARA, CA 95051(408) 851-3795 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2023, Apr 5, 2022 (2 updates tracked since 2022).

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About Alex Im Md NPPES

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

ALEX IM MD (NPI 1285375980) is an individual general practice provider in Santa Clara, California, licensed in California (188744) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285375980

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameALEX IMCredential: MD

Location Address710 LAWRENCE EXPY DEPT 384Santa Clara, CA 95051-5173

Mailing Address710 Lawrence Expy Dept 384Santa Clara, CA 95051-5173 · (408) 851-3795

Phone(408) 851-3795

Sole ProprietorNo

Enumeration DateApril 5, 2022

Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration

NPPES CertifiedAugust 18, 2023

✔ NPI 1285375980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · 188744

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

710 LAWRENCE EXPY DEPT 384, Santa Clara, CA 95051

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA UNG

Student in an Organized Health Care Education/Training Program