Individual provider Active NPI

Alex Edward Pereira, ND

  • Naturopath
  • San Francisco, CA
National Provider Identifier
1336864305
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND1376 Issued in CA
Practice address
1545 Broadway Ste 1a
San Francisco, CA 94109-2539
Phone
(916) 351-9355
Fax
(415) 292-7911
NPI assigned
Oct 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND1376 CA Primary

Addresses

Primary practice location

1545 Broadway Ste 1a
San Francisco, CA 94109-2539

Mailing address

8559 Morning Skye Way
Antelope, CA 95843-5408
Phone (916) 607-5307

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

State licenses

LicenseStateTypeSpecialty
ND1376CAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Azzolino Chiropractic Neurology & Integrative Wellness, Inc CurrentSince Mar 30, 2025 Accepting new patients
Revolutions Naturopathic Medical Solutions Naturopath PastSince Oct 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1336864305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8559 MORNING SKYE WAY",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958435408",
            "telephone_number": "916-607-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 BROADWAY STE 1A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941092539",
            "telephone_number": "916-351-9355",
            "fax_number": "415-292-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "ALEX",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-11",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.