Individual provider Active NPI

Juan Elmer Alvarado, PA-C

  • Surgical Physician Assistant
  • Norwalk, CA
National Provider Identifier
1285963678
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA20496 Issued in CA
Practice address
10924 Hoback St
Norwalk, CA 90650-3553
Phone
(562) 929-7420
NPI assigned
Dec 14, 2009
Last updated
Apr 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111101000337 CA Practitioner - Physician Assistant 0547433989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20496CAMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.