Alexis Caputo

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95029018 Issued in CA

Practice address

224 Segovia Ave
San Gabriel, CA 91775-2946

Phone

(626) 616-5633

NPI assigned

Feb 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Advantage Physical Medicine IncGroup PAC ID 8022323294, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Health Advantage Physical Medicine Inc

  • Physical Medicine & Rehabilitation Physician
  • Pasadena, CA
  • NPI 1851799332
  Medicare reassignment Care Compare group NPD
• Health Advantage Health and Wellness Center

  • Chiropractor
  • Pasadena, CA
  • NPI 1730328568
  NPD (past)

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1376307561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SEGOVIA AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SEGOVIA AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752946",
            "telephone_number": "626-616-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95029018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Headache and Pain Specialist, Inc.
• Michael Scott Campbell, PHARMD
• Victor Alejandro Campos, BA, BCABA
• Judy Cao, O.D.
• Jessica Capra, AMFT
• Alex Cardona
• Caroline Yu DDS Inc
• Stephanie Carpentier, NP
• Kylie Casino
• Jimmy Castaneda

• Nurse Practitioner in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.