ALAS MEDICAL CLINIC, INC. — NPI 1063623387 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in AZUSA, CA)

CMS-1500 Box 24J / 33a • NPI

1063623387

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QP2300X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

545 N SAN GABRIEL AVE, AZUSA, CA, 91702-2939

✓ 9-Digit EDI 837 ZIP+4 (91702-2939)

Practice Phone & Referral Fax

(626) 815-1511

Fax: (626) 815-1504

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063623387 (ALAS MEDICAL CLINIC, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063623387` (NPI-2 Organization / Facility)
Provider / Legal Name	ALAS MEDICAL CLINIC, INC.
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QP2300X` (Clinic/Center, Primary Care)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	545 N SAN GABRIEL AVE, AZUSA, CA, 91702-2939
Practice Telephone / Fax	Tel: (626) 815-1511 \| Fax: (626) 815-1504
Administrative Mailing Address	545 N SAN GABRIEL AVE, AZUSA, CA, 91702-2939
Enumeration & Last Sync	Enumerated: 2007-05-25 \| CMS Record Updated: 2010-12-29
Authorized Official	JUAN ALAS (PRESIDENT)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

545 N SAN GABRIEL AVE, AZUSA, CA, 91702-2939

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Plain-English Taxonomy & CMS Crosswalk (261QP2300X)

What Does Taxonomy Code 261QP2300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP2300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALAS MEDICAL CLINIC, INC.)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QP2300X` — Clinic/Center, Primary Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: CA \| License: `A55051` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALAS MEDICAL CLINIC, INC. (NPI #1063623387)