Individual provider Active NPI

Daisy Alvizo

  • Addiction (Substance Use Disorder) Counselor
  • Ceres, CA
National Provider Identifier
1104526334
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1768 Mitchell Rd Ste 301
Ceres, CA 95307-2156
Phone
(209) 353-4838
Fax
(209) 537-2735
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 Primary

Addresses

Primary practice location

1768 Mitchell Rd Ste 301
Ceres, CA 95307-2156

Mailing address

1768 Mitchell Rd Ste 301
Ceres, CA 95307-2156
Phone (209) 353-4838

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Treatment Centers, LLC CurrentSince Mar 12, 2023 Accepting new patients
Aegis Treatment Centers, LLC PastSince Mar 12, 2023 Accepting new patients

Locations

1768 Mitchell Rd
Ste 301
Ceres, CA 95307
Phone (209) 353-4838

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104526334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 MITCHELL RD STE 301",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072156",
            "telephone_number": "209-353-4838",
            "fax_number": "209-537-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 MITCHELL RD STE 301",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072156",
            "telephone_number": "209-353-4838",
            "fax_number": "209-537-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVIZO",
        "first_name": "DAISY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.