Andres Gavino Alvarez De la Llana, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A54374 Issued in CA

Practice address

19333 Bear Valley Road
Suite 101
Apple Valley, CA 92307-0000

Phone

(760) 241-6666

Fax

(760) 241-7575

NPI assigned

Jan 4, 2007

Last updated

Jan 29, 2015By the provider in NPPES

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

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: General Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Skye Home Health Home health agency, Duarte, CA, CCN 753197
• Beta Home Health Care Inc Home health agency, Barstow, CA, CCN 757273

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Andres a de la Llana MD Inc

  • Primary Care Clinic/Center
  • Apple Valley, CA
  • NPI 1942735923
  Medicare reassignment NPD Authorized official
• California Physicians Medical Group, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Los Angeles, CA
  • NPI 1669405890
  NPD (past)
• Dignity Health

  dba St. Mary Medical Center

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  NPD (past)
• High Desert Primary Care

  • Internal Medicine Physician
  • Victorville, CA
  • NPI 1770537466
  NPD (past)
• Hospital of Barstow Inc

  dba Barstow Community Hospital

  • General Acute Care Hospital
  • Barstow, CA
  • NPI 1780655670
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beta Home Health Care Inc

  • Home Health Agency
  • Barstow, CA
  • NPI 1154892081
  Care Compare affiliation
• Skye Home Health, Inc.

  dba Skye Home Health

  • Home Health Agency
  • Duarte, CA
  • NPI 1295352474
  Care Compare affiliation

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1497802094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17095 MAIN STREET",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456004",
            "telephone_number": "760-241-6666",
            "fax_number": "760-948-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 BEAR VALLEY ROAD",
            "address_2": "SUITE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070000",
            "telephone_number": "760-241-6666",
            "fax_number": "760-241-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA LLANA",
        "first_name": "ANDRES GAVINO",
        "middle_name": "ALVAREZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Michelle Dawly, PHARM.D.
• Tory Day
• Benilda Ramos De Asis, M.D.
• Nancy Yvette De Dios
• Elizabeth De la Cruz
• Heidelene E De la Rosa, MD
• Caryn De la Torre
• Regina Imelda Hojilla De Luna, M.D.
• Jacqueline De Santiago
• Lori Ann Dean, MPT

• Internal Medicine Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.
• 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.