Individual provider Active NPI

Nathalie Torres Alfonso, FNP-C

  • Nurse Practitioner
  • Hemet, CA
National Provider Identifier
1326475724
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95009286 Issued in CA
Practice address
540 N San Jacinto St Ste P
Hemet, CA 92543-3154
Phone
(951) 929-4000
Fax
(951) 929-4100
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP4940 AZ
Nurse Practitioner 363L00000X 95009286 CA Primary

Addresses

Primary practice location

540 N San Jacinto St Ste P
Hemet, CA 92543-3154

Mailing address

540 N San Jacinto St Ste P
Hemet, CA 92543-3154
Phone (951) 929-4000

Other identifiers 1

IdentifierTypeStateIssuer
981291MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131122000313 AZ Practitioner - Nurse Practitioner 5395971311 Reassigns benefits to 3 organizations
I20190531001438 CA Practitioner - Nurse Practitioner 5395971311 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center CurrentSince Sep 25, 2023 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Good Health Medical, PLLC CurrentSince Nov 14, 2017 Accepting new patients
Angels Valley Community Healthcare Center PLLC CurrentSince Feb 2, 2023 Accepting new patients
Good Health Medical, PLLC CurrentSince Nov 14, 2017 Accepting new patients
Tri-State Community Healthcare Center CurrentSince Sep 25, 2023 Accepting new patients
Heart & Vascular Center of Arizona, PLLC CurrentSince Jan 5, 2015 Accepting new patients

Locations

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

5045 W Baseline Rd
Ste A110
Laveen, AZ 85339

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

6739 W Cactus Rd
Peoria, AZ 85381
Phone (623) 240-1110

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

9305 W Thomas Rd
Ste 270
Phoenix, AZ 85037

14820 N Cave Creek Rd
Ste 2
Phoenix, AZ 85032
Phone (202) 455-0013

1331 N 7th St
Ste 375
Phoenix, AZ 85006
Phone (602) 271-9064

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944

11499 Bartlett Ave
Adelanto, CA 92301
Phone (760) 444-4258

1535 E Colorado St
Glendale, CA 91205

540 N San Jacinto St
Ste P
Hemet, CA 92543
Phone (951) 929-4000

540 N San Jacinto St
Hemet, CA 92543
Phone (951) 492-0728

820 W Broadway St
Needles, CA 92363
Phone (730) 326-0222

Interoperability endpoints

  • Direct secure messaging: nathalie.alfonso.p2@direct.mydohc.nextgenshare.com

Organizations & group practices 7

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": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1326475724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N SAN JACINTO ST STE P",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433154",
            "telephone_number": "951-929-4000",
            "fax_number": "951-929-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N SAN JACINTO ST STE P",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433154",
            "telephone_number": "951-929-4000",
            "fax_number": "951-929-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "NATHALIE",
        "middle_name": "TORRES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4940",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "981291",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.