Active NPI
Israel Nazario Alvarado
- Rehabilitation Practitioner
- Pasadena, CA
National Provider Identifier
1255664868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 867 N Fair Oaks Ave Ste 150
Pasadena, CA 91103 - Phone
- (626) 204-1360
- NPI assigned
- Sep 14, 2009
- Last updated
- Sep 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
867 N Fair Oaks Ave Ste 150
Pasadena, CA 91103
Mailing address
2934 E Garvey Ave S
West Covina, CA 91791-2190
Phone (626) 246-1701
Other practice location 1
1630 E Shaw Ave
Suite 150
Fresno, CA 93710-8105
Phone (559) 248-8550
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": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1255664868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2934 E GARVEY AVE S",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917912190",
"telephone_number": "626-246-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 N FAIR OAKS AVE STE 150",
"city": "PASADENA",
"state": "CA",
"postal_code": "91103",
"telephone_number": "626-204-1360"
}
],
"practiceLocations": [
{
"address_1": "1630 E Shaw Ave",
"address_2": "Suite 150",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937108105",
"country_code": "US",
"telephone_number": "559-248-8550",
"fax_number": "559-248-8555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALVARADO",
"first_name": "ISRAEL",
"middle_name": "NAZARIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-14",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.