Jacqueline Tavares-Alvarado, LSA, CSFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

1826 Pleasant Springs LN
Houston, TX 77089-1498

Phone

(281) 827-6521

NPI assigned

Jan 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Excelsa Surgical Assistant LLC

  • Surgical Physician Assistant
  • Houston, TX
  • NPI 1619590791
  NPD Authorized official

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1376932574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751763",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772751763",
            "telephone_number": "281-827-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 PLEASANT SPRINGS LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770891498",
            "telephone_number": "281-827-6521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 West Loop S Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770273599",
            "country_code": "US",
            "telephone_number": "713-877-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVARES-ALVARADO",
        "first_name": "JACQUELINE",
        "credential": "LSA,  CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "156467 NBSTSA",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahriar Tavakoli Tabasi, M.D.
• Sason Tavakoli-Sabour, D.O.
• Azardokht Tavakoli
• Niloofar Tavakoli, PHD
• Kevin R Tavangarian, M.D.
• John Paul Tavares, OD
• Badri Tavasolian
• Mohsen Tavassoli, PHARMD
• Tavel Palliative PLLC
• Linda Lee Tavel, M.D.

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.