Active NPI
Mathew William Alvarez
- Counselor
- Colton, CA
National Provider Identifier
1306561006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 790 Via Lata Ste 300
Colton, CA 92324-3978 - Phone
- (909) 433-0445
- NPI assigned
- Oct 5, 2022
- Reactivated
- Dec 14, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
790 Via Lata Ste 300
Colton, CA 92324-3978
Mailing address
788 N Aspen Ave
Rialto, CA 92376-4645
Phone (909) 294-1027
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": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1306561006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "788 N ASPEN AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923764645",
"telephone_number": "909-294-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 VIA LATA STE 300",
"city": "COLTON",
"state": "CA",
"postal_code": "923243978",
"telephone_number": "909-433-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "MATHEW",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-05",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"deactivation_date": "2022-12-05",
"reactivation_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.