Active NPI
Enriqueta Alvarez
- Student in an Organized Health Care Education/Training Program
- Modesto, CA
National Provider Identifier
1154739837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 57973
- Practice address
- 817 Coffee Rd Ste D
Modesto, CA 95355-4241 - Phone
- (209) 527-6100
- NPI assigned
- Jul 26, 2014
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 57973 | CA | Primary |
Addresses
Primary practice location
817 Coffee Rd Ste D
Modesto, CA 95355-4241
Mailing address
836 La Sombra Ave
Modesto, CA 95354-1434
Phone (209) 735-2425
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406332800000",
"number": "1154739837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 LA SOMBRA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953541434",
"telephone_number": "209-735-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 COFFEE RD STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554241",
"telephone_number": "209-527-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "ENRIQUETA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-26",
"last_updated": "2014-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "57973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.