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ALICIA SQUALLS
NPI 1417146358
Rehabilitation Practitioner in Los Angeles, CA

Active since October 16, 2007PECOS Enrolled
605 W OLYMPIC BLVD STE 600, LOS ANGELES, CA 90015(213) 553-1884(213) 236-9662 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alicia Squalls NPPES

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

ALICIA SQUALLS (NPI 1417146358) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417146358
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameALICIA SQUALLS
Location Address605 W OLYMPIC BLVD STE 600Los Angeles, CA 90015-1475
Mailing Address605 W Olympic Blvd Ste 600Los Angeles, CA 90015-1475 · (213) 553-1884 · Fax (213) 236-9662
Phone(213) 553-1884
Fax(213) 236-9662
Sole ProprietorNo
Enumeration DateOctober 16, 2007
✔ NPI 1417146358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
605 W OLYMPIC BLVD STE 600, Los Angeles, CA 90015
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Squalls 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.

Medicare Billing Reassignment

Medicare enrollment records show Alicia Squalls reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
305 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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

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.

MAMOE MAMOE
Community Health Worker
605 W OLYMPIC BLVD STE 600
LOS ANGELES, CA 90015
Los Angeles County (213) 236-9388
REBEKAH WILTZ MSW
Rehabilitation Practitioner
605 W OLYMPIC BLVD STE 600
LOS ANGELES, CA 90015
Los Angeles County (213) 553-1884
QUENTIN MOORE
Case Manager/Care Coordinator
605 W OLYMPIC BLVD STE 600
LOS ANGELES, CA 90015
Los Angeles County (213) 236-9388
JESSE BRAN
Case Manager/Care Coordinator
605 W OLYMPIC BLVD STE 600
LOS ANGELES, CA 90015
Los Angeles County (213) 236-9388
CASS ALEXANDRA TAYLOR
Case Manager/Care Coordinator
605 W OLYMPIC BLVD STE 600
LOS ANGELES, CA 90015
Los Angeles County (213) 236-9388
CHARLOTTEQ ALLEN
Case Manager/Care Coordinator
605 W OLYMPIC BLVD STE 600
LOS ANGELES, CA 90015
Los Angeles County (213) 236-9388
NAZISH POPALZAI
Counselor
605 W OLYMPIC BLVD STE 600
LOS ANGELES, CA 90015
Los Angeles County (213) 553-1884
LINDA LY
Counselor (Mental Health)
605 W OLYMPIC BLVD STE 600
LOS ANGELES, CA 90015
Los Angeles County (213) 249-9388

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 Alicia Squalls's NPI number?

The NPI number for Alicia Squalls is 1417146358. It was assigned to this individual provider in the NPPES registry on October 16, 2007.

Where is Alicia Squalls located?

Alicia Squalls practices at 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015. The listed phone number is (213) 553-1884.

What is Alicia Squalls's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Is Alicia Squalls enrolled in Medicare?

Yes. Alicia Squalls is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alicia Squalls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Squalls reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The 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 Alicia Squalls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alicia Squalls was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.