Jesus Mauricio Alfaro Jr., RN,MSN,ACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

20433 Issued in CA

Practice address

300 Pasteur Dr
Stanford, CA 94305-2200

Phone

(650) 498-3333

NPI assigned

Aug 30, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jesse Mauricio Alfaro Jr. Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1447531801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 HILLCREST DR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141028",
            "telephone_number": "650-438-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-498-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFARO",
        "first_name": "JESUS",
        "middle_name": "MAURICIO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN,MSN,ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "20433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "ALFARO",
            "middle_name": "MAURICIO",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "RN,MSN,ACNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria Alexandrovna Aleshin, MD
• Kevin Michael Alexander, MD
• Fnu Alfandy, MSN, ANP-BC
• Brian Knox Alfano, PA
• Ibrahim Abdulrahman Alfaris, MD
• Sana Ali, MD
• Leonardo Aliaga, MD
• Kaitlyn Alibrando, PA-C
• Scarlette Aliga, AG-ACNP-BC
• Bahareh Alinaghi, NP

• Acute Care Nurse Practitioner in Stanford, CA
• Providers in Stanford, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.