Active NPI
Alejandro Israel Alarcon, LVN
- Licensed Practical Nurse
- Riverside, CA
National Provider Identifier
1205094877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- VN218646
- Practice address
- 10015 Walnut Grove Ave
Riverside, CA 92503-5423 - Phone
- (951) 452-5062
- NPI assigned
- May 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | VN218646 | CA | Primary |
Addresses
Primary practice location
10015 Walnut Grove Ave
Riverside, CA 92503-5423
Mailing address
10015 Walnut Grove Ave
Riverside, CA 92503-5423
Phone (951) 452-5062
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 |
|---|---|---|---|
| VN218646 | CA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1205094877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10015 WALNUT GROVE AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925035423",
"telephone_number": "951-452-5062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10015 WALNUT GROVE AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925035423",
"telephone_number": "951-452-5062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALARCON",
"first_name": "ALEJANDRO",
"middle_name": "ISRAEL",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-29",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CA",
"license": "VN218646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
- Roy James Alao-Laurel
- Alara Health Services Inc (Victoria Hills Assisted Living and Memory Care)
- Alara Health Services Inc (Canyon Crest Assisted Living and Memory Care)
- Alara Health Services Inc (Arlington Heights Assisted Living and Memory Care)
- Lazma Fawzi Alaraj, MPT
- Jenese Alarcon
- Kimberly Alarcon
- Jasmin Alas
- Erica Alatorre Rodriguez
- Ahmad Alazzeh, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.