Active NPI
Kirl Jude Eullaran Alviola, PT
- Physical Therapist
- Corona, CA
National Provider Identifier
1235479528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38075
- Practice address
- 2600 S Main St
Corona, CA 92882-5941 - Phone
- (951) 736-4700
- Fax
- (951) 340-2831
- NPI assigned
- Feb 22, 2013
- Last updated
- Feb 22, 2013
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38075 | CA | Primary |
Addresses
Primary practice location
2600 S Main St
Corona, CA 92882-5941
Mailing address
14670 Meadowsweet Dr
Eastvale, CA 92880-9145
Phone (630) 345-0584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38075 | Other | CA | PHYSICAL THERAPY BOARD OF CALIFORNIA |
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": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1235479528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14670 MEADOWSWEET DR",
"city": "EASTVALE",
"state": "CA",
"postal_code": "928809145",
"telephone_number": "630-345-0584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S MAIN ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928825941",
"telephone_number": "951-736-4700",
"fax_number": "951-340-2831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVIOLA",
"first_name": "KIRL",
"middle_name": "JUDE EULLARAN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-22",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
"identifier": "38075",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.