Physician Compare National (NPI:1609889518)

HEALTHCARE PROVIDER: ALAN MARE M.D.

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

Individual Professional Information
NPI	1609889518
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951409408
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091202000574
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARE
	Individual professional last name
Provider First Name	ALAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
	Individual professional's medical school
Graduation Year	1959
	Individual professional's medical school graduation year
Primary Specialty	PATHOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	VALLEY PATHOLOGY MEDICAL GROUP
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0840237855
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1117 E DEVONSHIRE AVE
	Group Practice or individual's line 1 address
City	HEMET
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	925433083
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9519256360
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050390
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HEMET VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050684
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MENIFEE VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050423
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PALO VERDE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050054
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SAN GORGONIO MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y