Individual provider Active NPI

Jorge Eduardo Alvarez, DPT

  • Physical Therapist
  • Stockton, CA
National Provider Identifier
1396578217
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306471 Issued in CA
Practice address
534 E Pine St Ste a
Stockton, CA 95204-5536
Phone
(209) 463-5800
Fax
(209) 463-5900
NPI assigned
Aug 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 306471 CA Primary

Addresses

Primary practice location

534 E Pine St Ste a
Stockton, CA 95204-5536

Mailing address

1510 S Mills Ave Apt 216
Lodi, CA 95242-4240
Phone (209) 620-0215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010001898 CA Practitioner - Physical Therapist in Private Practice 4385176734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Physical Therapy Ca PCGroup PAC ID 5698209799, 41 clinicians

Practice addresses (Care Compare)

Palm Desert, CA 92260
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JBJC Inc CurrentSince Sep 17, 2024 Accepting new patients
JBJC Inc. Physical Therapist CurrentSince Sep 17, 2024 Accepting new patients
Fox Rehabilitation Physical Therapy Ca PC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients

Locations

534 E Pine St
Ste A
Stockton, CA 95204
Phone (209) 463-5800

10200 Trinity Pkwy
Ste 205
Stockton, CA 95219
Phone (209) 451-3920

95 Duesenberg Dr
Westlake Village, CA 91362
Phone (805) 413-3300

Organizations & group practices 3

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1396578217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S MILLS AVE APT 216",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424240",
            "telephone_number": "209-620-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 E PINE ST STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045536",
            "telephone_number": "209-463-5800",
            "fax_number": "209-463-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "JORGE",
        "middle_name": "EDUARDO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.