Organization Active NPI

Alvarado Surgical Associates, a Medical Group, Inc.

Doing business as Wittgrove Bariatric Center

  • Specialist
  • La Jolla, CA
National Provider Identifier
1487843553
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALVARADO SURGICAL ASSOCIATES, A MEDICAL GROUP, INC.
Doing business as
Wittgrove Bariatric Center
Practice address
9834 Genesee Ave Ste 328
La Jolla, CA 92037-1216
Phone
(858) 554-1770
Fax
(858) 554-1771
NPI assigned
Oct 15, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
ALVARADO SURGICAL ASSOCIATES, A MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Alan Craig Wittgrove, M.D.NPI 1942287206
Title
President
Phone
(858) 554-1770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

9834 Genesee Ave Ste 328
La Jolla, CA 92037-1216

Mailing address

9834 Genesee Ave Ste 328
La Jolla, CA 92037-1216
Phone (858) 554-1770

Other names 1

  • Wittgrove Bariatric Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alvarado Surgical Associates Inc2 organizations share this tax ID, including this one
Part of
Alvarado Surgical Associates Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1487843553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 328",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371216",
            "telephone_number": "858-554-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 328",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371216",
            "telephone_number": "858-554-1770",
            "fax_number": "858-554-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVARADO SURGICAL ASSOCIATES, A MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALVARADO SURGICAL ASSOCIATES, A MEDICAL GROUP, INC.",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "WITTGROVE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-554-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wittgrove Bariatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.