James Avalos, FNP – Family Nurse Practitioner

Key facts

NPI: 1457475014
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 347089 (NY)
Practice address: 3 Marcela Dr Ste C
Willits, CA 95490-5769
Phone: (707) 459-6115
NPI assigned: Mar 19, 2007
Sex: Male
Sole proprietor: No

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.

Carelon Medical Partners, PC Hospice and Palliative Medicine (Internal Medicine) Physician · Nashville, TN · NPI 1124443403

Medicare reassignment NPD VA
Daniel Funsch Jr, M.D., P.C. Emergency Medicine Physician · New York, NY · NPI 1316784580

Care Compare group
The Guidance Center Community/Behavioral Health Agency · Long Beach, CA · NPI 1720167810

NPD (past)

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2020
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Daniel Funsch Jr MD PC (139 clinicians)

Practice addresses (Care Compare)

300 Spring St
Westbrook, ME 04092-3915
Phone (212) 734-6621

9200 Franklin Square Dr
Baltimore, MD 21237-4458
Phone (212) 734-6621

Medicare participation

Medicare fee-for-service enrollment: Enrolled in VA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20250409001190	VA	Practitioner - Nurse Practitioner	2062816853	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Carelon Medical Partners, PC		Current since Mar 26, 2025	Accepting new patients
The Guidance Center		Past	Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

Interoperability endpoints

Direct secure messaging: javalos19734@carelonhealth.direct-ci.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	347089	NY	Yes
Clinical Social Worker	1041C0700X
Primary Care Nurse Practitioner	363LP2300X	95016314	CA

Addresses

Primary practice location

3 Marcela Dr Ste C
Willits, CA 95490-5769

Mailing address

3 Marcela Dr Ste C
Willits, CA 95490-5769
Phone (707) 459-6115

Other providers in Willits, CA

All providers in Willits, CA · Family Nurse Practitioner in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.