The Alfa Doc LLC
Organization Active NPI Family Medicine Physician · Valdez, AK
NPI 1104487461 · NPPES record last updated Jul 22, 2020
Key facts
- NPI
- 1104487461
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- THE ALFA DOC LLC
- Practice address
- 154 Fairbanks Drive
Valdez, AK 99686 - Phone
- (407) 928-2983
- NPI assigned
- Jun 26, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Angela D Alfaro, MD
- Title
- Single Member LLC, Owner
- Phone
- (907) 835-2532
Practitioners 2
-
Angela D Alfaro, MD, MS
-
Elizabeth Jouquetta Byrd, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191206001008 | AK | Part B Supplier - Clinic/Group Practice | 5890128763 |
Receives reassigned benefits from 1 practitioner Practice locations: Valdez, AK |
National Provider Directory
Interoperability endpoints
- https://api.platform.athenahealth.com/19870/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
154 Fairbanks Drive
Valdez, AK 99686
Mailing address
PO Box 2507
Valdez, AK 99686-2507
Other practice location 1
154 Fairbanks Street
Valdez, AK 99686
Phone (407) 928-2983
Other providers in Valdez, AK
- Paul James Silveira
- Brianne Skilbred
- Sound Family Wellness LLC
- Sound Mental Health LLC
- Kelly Elizabeth Spittler
- Kathleen G Todd
- Hope Ann Turner
- Amina Madeleine Turton
- Valdez Dental LLC
- Valdez Eye Care, LLC
All providers in Valdez, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.