Alva Family Specialist, Inc
Organization Active NPI Optometrist · La Verne, CA
NPI 1366093338 · NPPES record last updated Oct 31, 2019
Key facts
- NPI
- 1366093338
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ALVA FAMILY SPECIALIST, INC
- Practice address
- 2248 D St
La Verne, CA 91750-5403 - Phone
- (909) 593-3519
- NPI assigned
- Sep 21, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian Alva, OD
- Title
- President
- Phone
- (626) 722-1751
Practitioners 4
-
Brian Alva, O.D.
-
Connie C Liu, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191101001402 | CA | Part B Supplier - Clinic/Group Practice | 0042542599 |
Receives reassigned benefits from 1 practitioner Practice locations: La Verne, CA |
National Provider Directory
Locations
2248 D St
La Verne, CA 91750
Phone (909) 593-3519
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
2248 D St
La Verne, CA 91750-5403
Mailing address
2248 D St
La Verne, CA 91750-5403
Phone (909) 593-3519
Other names
- La Verne Optometry
Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.