Individual provider Active NPI

Athena Alvarez, DNP, FNP-C

  • Family Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1134745623
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018850 Issued in CA
Practice address
735 Carnegie Dr Ste 125
San Bernardino, CA 92408-4200
Phone
(909) 370-0300
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018850 CA Primary

Addresses

Primary practice location

735 Carnegie Dr Ste 125
San Bernardino, CA 92408-4200

Mailing address

11374 E Serrano SQ
Yucaipa, CA 92399-6891
Phone (909) 573-2833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95018850CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Management Medical Group, Inc. CurrentSince Sep 18, 2022 Accepting new patients

Locations

900 E Washington St
Ste 301
Colton, CA 92324
Phone (909) 370-0300

735 Carnegie Dr
Ste 125
San Bernardino, CA 92408
Phone (909) 370-0300

999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950

450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960

Organizations & group practices 1

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1134745623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11374 E SERRANO SQ",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923996891",
            "telephone_number": "909-573-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 CARNEGIE DR STE 125",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084200",
            "telephone_number": "909-370-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "ATHENA",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.