Alliance Mobile Nursing Practitioner Inc
NPI 1629847140 · Primary Care Nurse Practitioner · La Mesa, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alliance Mobile Nursing Practitioner Inc is a Primary Care Nurse Practitioner organization in La Mesa, CA (NPI 1629847140).
Provider details
- NPI number
- 1629847140
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jackie Van DO, Ceo/Owner(858) 380-6983
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-26
- Last updated
- 2024-05-15
- Certified
- 2024-05-15
Frequently asked questions
- What is Alliance Mobile Nursing Practitioner Inc's NPI number?
- Alliance Mobile Nursing Practitioner Inc's National Provider Identifier (NPI) is 1629847140, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alliance Mobile Nursing Practitioner Inc?
- Alliance Mobile Nursing Practitioner Inc is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Alliance Mobile Nursing Practitioner Inc located?
- Alliance Mobile Nursing Practitioner Inc's practice location on file with NPPES is 4579 Maple Ave Ste 1, La Mesa, CA 91941-3154.
- What is Alliance Mobile Nursing Practitioner Inc's phone number?
- The practice phone number listed in the NPPES registry for Alliance Mobile Nursing Practitioner Inc is (760) 481-9946.
- Does Alliance Mobile Nursing Practitioner Inc accept Medicare?
- Alliance Mobile Nursing Practitioner Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Alliance Mobile Nursing Practitioner Inc?
- The authorized official listed on Alliance Mobile Nursing Practitioner Inc's NPPES record is Jackie Van DO, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alliance Mobile Nursing Practitioner Inc's NPI active?
- Yes — Alliance Mobile Nursing Practitioner Inc's NPI (1629847140) is active in the NPPES registry as of the last update on 2024-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.