Individual provider Active NPI

Luz Alcaraz, FNP

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1295793552
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9221 Issued in CA
Practice address
8110 Timberlake Way
Sacramento, CA 95823-5401
Phone
(916) 689-4111
Fax
(916) 689-6620
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9221 CA Primary

Addresses

Primary practice location

8110 Timberlake Way
Sacramento, CA 95823-5401

Mailing address

8110 Timberlake Way
Sacramento, CA 95823-5401
Phone (916) 689-4111

Other identifiers 1

IdentifierTypeStateIssuer
P01114963OtherCARAILROAD MEDICARE

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
I20040430001396 CA Practitioner - Nurse Practitioner 0345238283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lalcaraz16040@hpmg.direct-ci.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1295793552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 TIMBERLAKE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235401",
            "telephone_number": "916-689-4111",
            "fax_number": "916-689-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 TIMBERLAKE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235401",
            "telephone_number": "916-689-4111",
            "fax_number": "916-689-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCARAZ",
        "first_name": "LUZ",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "9221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01114963",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.