Active NPI
The Alfa Doc LLC
- Family Medicine Physician
- Valdez, AK
National Provider Identifier
1104487461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- THE ALFA DOC LLC
- Practice address
- 154 Fairbanks Drive
Valdez, AK 99686 - Phone
- (407) 928-2983
- NPI assigned
- Jun 26, 2019
- Last updated
- Jul 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angela D Alfaro, MD
- Title
- Single Member LLC, Owner
- Phone
- (907) 835-2532
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/19870/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Valdez, AK
- NPI 1477394005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595376000000",
"number": "1104487461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2507",
"city": "VALDEZ",
"state": "AK",
"postal_code": "996862507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 FAIRBANKS DRIVE",
"city": "VALDEZ",
"state": "AK",
"postal_code": "99686",
"telephone_number": "407-928-2983"
}
],
"practiceLocations": [
{
"address_1": "154 Fairbanks Street",
"address_purpose": "LOCATION",
"city": "Valdez",
"state": "AK",
"postal_code": "99686",
"country_code": "US",
"telephone_number": "407-928-2983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE ALFA DOC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-26",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A",
"authorized_official_last_name": "ALFARO",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SINGLE MEMBER LLC, OWNER",
"authorized_official_telephone_number": "907-835-2532",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdez, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.