Active NPI
Jane Mirielle Alvarado
- Peer Specialist
- Orange, CA
National Provider Identifier
1114563632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-LCSDMV
- Practice address
- 1855 W Katella Ave Ste 150
Orange, CA 92867-3432 - Phone
- (714) 399-3481
- Fax
- (714) 399-3481
- NPI assigned
- Nov 19, 2019
- Reactivated
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-LCSDMV | CA | Primary |
Addresses
Primary practice location
1855 W Katella Ave Ste 150
Orange, CA 92867-3432
Mailing address
1855 W Katella Ave Ste 150
Orange, CA 92867-3432
Phone (714) 399-3480
Other practice location 1
3303 Harbor Blvd Ste B8
Costa Mesa, CA 92626-1517
Phone (714) 786-6069
Other practice location 2
2001 E 4th St Ste 200
Santa Ana, CA 92705-3916
Phone (714) 824-8140 ext. 110
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
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-LCSDMV | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1114563632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 W KATELLA AVE STE 150",
"city": "ORANGE",
"state": "CA",
"postal_code": "928673432",
"telephone_number": "714-399-3480",
"fax_number": "714-399-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 W KATELLA AVE STE 150",
"city": "ORANGE",
"state": "CA",
"postal_code": "928673432",
"telephone_number": "714-399-3481",
"fax_number": "714-399-3481"
}
],
"practiceLocations": [
{
"address_1": "3303 Harbor Blvd Ste B8",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926261517",
"country_code": "US",
"telephone_number": "714-786-6069",
"fax_number": "714-834-9822",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 E 4th St Ste 200",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927053916",
"country_code": "US",
"telephone_number": "714-824-8140 x110",
"fax_number": "714-824-8142",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALVARADO",
"first_name": "JANE",
"middle_name": "MIRIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"deactivation_date": "2021-03-19",
"reactivation_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-LCSDMV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.