Physician Compare National (NPI:1013132596)

HEALTHCARE PROVIDER: CARON ALEXANDRA HOUSTON MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1013132596
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365537123
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071009000404
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOUSTON
	Individual professional last name
Provider First Name	CARON
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4005 MANZANITA AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 6234
	Group Practice or individual's line 2 address
City	CARMICHAEL
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	956081770
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050309
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SUTTER ROSEVILLE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050108
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SUTTER MEDICAL CENTER, SACRAMENTO
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M