Individual provider Active NPI

Ace E. Alvarez, NP-C

  • Nurse Practitioner
  • Buena Park, CA
National Provider Identifier
1083966873
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPF21580 Issued in CA
Practice address
8585 Knott Ave Ste 101
Buena Park, CA 90620
Phone
(714) 821-8588
Fax
(714) 821-4482
NPI assigned
Oct 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPF21580 CA Primary

Addresses

Primary practice location

8585 Knott Ave Ste 101
Buena Park, CA 90620

Mailing address

8585 Knott Ave Ste 101
Buena Park, CA 90620
Phone (714) 821-8588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917001548 CA Order and Referring Only - Nurse Practitioner 0446657464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NPF21580CAMDNurse Practitioner

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHHFAD/Endpoint/BHHFAD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1083966873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 KNOTT AVE STE 101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "90620",
            "telephone_number": "714-821-8588",
            "fax_number": "714-821-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 KNOTT AVE STE 101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "90620",
            "telephone_number": "714-821-8588",
            "fax_number": "714-821-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "ACE",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF21580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.