Individual provider Active NPI

Jonathan Alatorre, CCAPP

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
National Provider Identifier
1104366822
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
RI-A1303271403 Issued in CA
Practice address
220 Euclid Ave Ste 40&50
San Diego, CA 92114-3644
Phone
(619) 795-7232
Fax
(619) 795-7256
NPI assigned
Feb 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X RI-A1303271403 CA Primary

Addresses

Primary practice location

220 Euclid Ave Ste 40&50
San Diego, CA 92114-3644

Mailing address

220 Euclid Ave Suite 40-50
San Diego, CA 92114-3617
Phone (619) 795-7232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RI-A1303271403CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1104366822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 EUCLID AVE SUITE 40-50",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921143617",
            "telephone_number": "619-795-7232",
            "fax_number": "619-795-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EUCLID AVE STE 40&50",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921143644",
            "telephone_number": "619-795-7232",
            "fax_number": "619-795-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALATORRE",
        "first_name": "JONATHAN",
        "credential": "CCAPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RI-A1303271403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.