Individual provider Active NPI

Alejandro Belellano Jr.

  • Case Manager/Care Coordinator
  • El Centro, CA
National Provider Identifier
1265619910
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1331 S Clark Rd BLDG 11
El Centro, CA 92243-9516
Phone
(760) 339-6425
Fax
(760) 339-6436
NPI assigned
Jan 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1331 S Clark Rd BLDG 11
El Centro, CA 92243-9516

Mailing address

1331 S Clark Rd BLDG 11
El Centro, CA 92243-9516
Phone (760) 339-6425

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": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1265619910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 S CLARK RD BLDG 11",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439516",
            "telephone_number": "760-339-6425",
            "fax_number": "760-339-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 S CLARK RD BLDG 11",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439516",
            "telephone_number": "760-339-6425",
            "fax_number": "760-339-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELELLANO",
        "first_name": "ALEJANDRO",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.