Americ Alvarado

Individual provider Active NPI Athletic Trainer · Larkspur, CA

NPI 1033523741 · NPPES record last updated Jun 20, 2014

Key facts

NPI
1033523741
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
30 Locust Ave Apt 5
Larkspur, CA 94939-1378
Phone
(415) 514-6116
NPI assigned
Jun 20, 2014
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)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X CA Yes

Addresses

Primary practice location

30 Locust Ave Apt 5
Larkspur, CA 94939-1378

Mailing address

30 Locust Ave Apt 5
Larkspur, CA 94939-1378

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 20, 2014.

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1033523741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LOCUST AVE APT 5",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LOCUST AVE APT 5",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391378",
            "telephone_number": "415-514-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "AMERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

All providers in Larkspur, CA · Athletic Trainer in California

Sources for this page

Verify at the official NPI Registry.