Alvin Lee Cabrera Cao

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95029369 Issued in CA

Practice address

35420 Redberry Palms CT
Lake Elsinore, CA 92532-2901

Phone

(626) 374-4784

NPI assigned

Sep 1, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1124907365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35420 REDBERRY PALMS CT",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322901",
            "telephone_number": "626-374-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35420 REDBERRY PALMS CT",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322901",
            "telephone_number": "626-374-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAO",
        "first_name": "ALVIN LEE",
        "middle_name": "CABRERA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sandra Camacho
• Carla Patricia Campo, DDS
• Marisol Canett, LVN
• Gloria Montes Cardona
• Marbella Adilene Carrillo
• Shayla Casanova, FNP-BC
• Maria Castaneda-Alcaraz
• Shawn Rey Castellon, P.T.

• Family Nurse Practitioner in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.