Neisy Alvarez, PA

Individual provider Active NPI Physician Assistant · Lemoore, CA

NPI 1376728873 · NPPES record last updated Jul 9, 2014

Key facts

NPI
1376728873
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA19474 (CA)
Practice address
810 E D St
Lemoore, CA 93245-9545
Phone
(559) 924-1177
Fax
(559) 924-1658
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19474CAMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19474 CA Yes

Addresses

Primary practice location

810 E D St
Lemoore, CA 93245-9545

Mailing address

1479 W Lacey Blvd
Hanford, CA 93230-5906
Phone (559) 583-4617

Other providers in Lemoore, CA

All providers in Lemoore, CA · Physician Assistant in California

Sources for this page

Verify at the official NPI Registry.