Organization Active NPI

Liza Alvarado DNP a Professional Nursing Corporation

Doing business as HealtheRoad A Professional Nursing Corporation

  • Psychiatry Physician
  • Murrieta, CA
National Provider Identifier
1205525243
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LIZA ALVARADO DNP A PROFESSIONAL NURSING CORPORATION
Doing business as
HealtheRoad A Professional Nursing Corporation
Practice address
25186 Hancock Ave Ste 210
Murrieta, CA 92562-5998
Phone
(951) 215-6747
Fax
(619) 268-5255
NPI assigned
May 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Liza P Alvarado, NPNPI 1124403993
Title
Ceo
Phone
(619) 228-3492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

25186 Hancock Ave Ste 210
Murrieta, CA 92562-5998

Mailing address

25186 Hancock Ave Ste 210
Murrieta, CA 92562-5998
Phone (951) 215-6747

Other names 1

  • HealtheRoad A Professional Nursing Corporation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230525000783 CA Part B Supplier - Clinic/Group Practice 0749646263 Receives reassigned benefits from 2 practitioners
Practice locations: Murrieta, CA

National Provider Directory

National Provider Directory

Locations

25186 Hancock Ave
Ste 210
Murrieta, CA 92562
Phone (951) 215-6747

41197 Golden Gate Cir
Ste 107
Murrieta, CA 92562
Phone (951) 215-6747

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1205525243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25186 HANCOCK AVE STE 210",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625998",
            "telephone_number": "951-215-6747",
            "fax_number": "619-268-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25186 HANCOCK AVE STE 210",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625998",
            "telephone_number": "951-215-6747",
            "fax_number": "619-268-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZA ALVARADO DNP A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "LIZA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-228-3492",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealtheRoad A Professional Nursing Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealtheRoad A Professional Nursing Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.