Active NPI
Juan Elmer Alvarado, PA-C
- Surgical Physician Assistant
- Norwalk, CA
National Provider Identifier
1285963678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA20496
- Practice address
- 10924 Hoback St
Norwalk, CA 90650-3553 - Phone
- (562) 929-7420
- NPI assigned
- Dec 14, 2009
- Last updated
- Apr 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | PA20496 | CA | |
| Surgical Physician Assistant | 363AS0400X | PA20496 | CA | Primary |
Addresses
Primary practice location
10924 Hoback St
Norwalk, CA 90650-3553
Mailing address
10924 Hoback St
Norwalk, CA 90650-3553
Phone (562) 929-7420
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111101000337 | CA | Practitioner - Physician Assistant | 0547433989 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20496 | CA | MD | Surgical Physician Assistant |
Interoperability endpoints
- jalvarado861802@direct.memorialcare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1285963678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10924 HOBACK ST",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503553",
"telephone_number": "562-929-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10924 HOBACK ST",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503553",
"telephone_number": "562-929-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "JUAN",
"middle_name": "ELMER",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-14",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "PA20496",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA20496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.