Individual provider Active NPI

Mariel Alvarez Garcia, NP

  • Family Nurse Practitioner
  • Montclair, CA
National Provider Identifier
1477041853
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008579 Issued in CA
Practice address
8891 Central Ave Ste a
Montclair, CA 91763-1685
Phone
(909) 297-3361
NPI assigned
May 1, 2018
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008579 CA Primary

Addresses

Primary practice location

8891 Central Ave Ste a
Montclair, CA 91763-1685

Mailing address

1429 Durfee Ave
South El Monte, CA 91733-3933
Phone (626) 512-2936

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200131001311 CA Practitioner - Nurse Practitioner 5991139693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

13365 W Washington Blvd
Los Angeles, CA 90066-5134
Phone (310) 504-1825

2100 S Euclid St
Suite 102
Anaheim, CA 92802-4572
Phone (714) 644-9100

235 E 17TH St
Costa Mesa, CA 92627-3831
Phone (949) 688-2010

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

5101 Lakewood Blvd
Lakewood, CA 90712-2413
Phone (562) 800-3883

600 E Colorado Blvd
Suite 120
Pasadena, CA 91101-6800
Phone (323) 301-7988

8135 N Painter Ave
Suite 104
Whittier, CA 90602-3164
Phone (562) 758-2345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008579CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC CurrentSince Jul 7, 2022 Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501

2110 W Sunset Blvd
Ste M
Los Angeles, CA 90026
Phone (510) 686-3621

806 New Los Angeles Ave
Moorpark, CA 93021
Phone (805) 334-8650

600 E Colorado Blvd
Ste 120
Pasadena, CA 91101
Phone (323) 301-7988

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1477041853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 DURFEE AVE",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333933",
            "telephone_number": "626-512-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8891 CENTRAL AVE STE A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631685",
            "telephone_number": "909-297-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ GARCIA",
        "first_name": "MARIEL",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4733 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.