Individual provider Active NPI

Edgar Eduardo Alfaro- McField, M.D

  • Pediatrics Physician
  • San Bernardino, CA
National Provider Identifier
1235351206
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A100540 Issued in CA
Practice address
1800 Western Ave Ste 305
San Bernardino, CA 92411-1354
Phone
(909) 880-9993
Fax
(909) 880-9998
NPI assigned
May 2, 2007
Last updated
Mar 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A100540 CA Primary

Addresses

Primary practice location

1800 Western Ave Ste 305
San Bernardino, CA 92411-1354

Mailing address

1800 Western Ave Ste 305
San Bernardino, CA 92411-1354
Phone (909) 880-9993

Other identifiers 5

IdentifierTypeStateIssuer
1528238961MedicaidCA
1235351206MedicaidCA
A100540OtherCACA MED LIC
ZZZ70178ZOtherCABS/TRIWEST
GR0062066MedicaidCA

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000755 CA Practitioner - Pediatric MedicinePractitioner - Family PracticePractitioner - General Practice 6709900236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A100540CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Healthcare Group, a Medical Corporation Pediatrics Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCHGDD/Endpoint/BCHGDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1235351206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WESTERN AVE STE 305",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111354",
            "telephone_number": "909-880-9993",
            "fax_number": "909-880-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESTERN AVE STE 305",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111354",
            "telephone_number": "909-880-9993",
            "fax_number": "909-880-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFARO- MCFIELD",
        "first_name": "EDGAR",
        "middle_name": "EDUARDO",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A100540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528238961",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235351206",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MED LIC",
            "identifier": "A100540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS/TRIWEST",
            "identifier": "ZZZ70178Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0062066",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.