Advanced Healthcare Associates, Inc
NPI 1396055414ActiveOrganization· Family Medicine· Fountain Valley, CA
Family Medicine in Fountain Valley, California, registered in NPPES in October 2010. The authorized official on file is Nelly Boutros, Admin.
Overview
| NPI | 1396055414 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 8, 2010 |
| Last updated in NPPES | Oct 8, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A47792 | CA |
| Internal Medicine | 207R00000X | G32104 | CA |
| Internal Medicine, Pulmonary Disease | 207RP1001X | A37535 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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