John Howard Alexander, PA-C
Individual provider Active NPI Medical Physician Assistant · Vallejo, CA
NPI 1023056983 · NPPES record last updated Aug 21, 2007
Key facts
- NPI
- 1023056983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA14144 (CA)
- Practice address
- 2290 Sacramento St
Vallejo, CA 94590-2929 - Phone
- (707) 643-5785
- Fax
- (707) 643-8810
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14144 | CA | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA14144 | CA | Yes |
Addresses
Primary practice location
2290 Sacramento St
Vallejo, CA 94590-2929
Mailing address
2290 Sacramento St
Vallejo, CA 94590-2929
Phone (707) 643-5785
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0023150 | Medicaid | CA |
Other providers in Vallejo, CA
- Cecilia Amador Alcazar
- Michelle Nicole Alderete
- Carolyn Akemi Doi Alekna
- Jazlyn Aleman
- Alex Dang DMD Inc
- Searle Alfaro
- Kaisar Mohammed Alhakim
- Aaser Ali
- Bano Qutub Ali
- Tapin Kuptarut Alilin
All providers in Vallejo, CA · Medical Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.