Individual provider Active NPI

Nathaly Alessandra Alva

  • Marriage & Family Therapist
  • Fontana, CA
National Provider Identifier
1225670490
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
146568 Issued in CA
Practice address
11544 Rancherias Dr
Fontana, CA 92337-0670
Phone
(909) 681-2429
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 146568 CA Primary

Addresses

Primary practice location

11544 Rancherias Dr
Fontana, CA 92337-0670

Mailing address

271 E Workman St Ste 101
Covina, CA 91723-3547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022003313 CA Practitioner - Marriage and Family Therapist 1658803127 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Soultenders, Inc. CurrentSince Aug 18, 2024 Accepting new patients
Counseling Solutions for Children and Families, Psych. Corp. CurrentSince Oct 1, 2019 Accepting new patients
Counseling Solutions for Children and Families, Psychology Corporation PastSince Oct 1, 2019 Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

271 E Workman St
Ste 101
Covina, CA 91723
Phone (626) 331-0335

10532 Acacia St
Ste B4
Rch Cucamonga, CA 91730
Phone (909) 325-3766

Organizations & group practices 3

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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1225670490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 E WORKMAN ST STE 101",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11544 RANCHERIAS DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923370670",
            "telephone_number": "909-681-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVA",
        "first_name": "NATHALY",
        "middle_name": "ALESSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.