Active NPI
Eduardo Alberto Alvarado, MPAP, PAC
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1497955199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19273
- Practice address
- 500 Citadel Dr
Suite 490
Los Angeles, CA 90040-1575 - Phone
- (323) 889-7365
- Fax
- (323) 889-7824
- NPI assigned
- Jul 20, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19273 | CA | MD | Occupational Therapist |
| PA19273 | CA | MD | Physician Assistant |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA19273 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
500 Citadel Dr
Suite 490
Los Angeles, CA 90040-1575
Mailing address
500 Citadel Dr
Suite 490
Los Angeles, CA 90040-1575
Phone (323) 889-7365
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA19273 | Other | CA | NATIONAL PHYSICIAN ASSIST |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2007.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1497955199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CITADEL DR",
"address_2": "SUITE 490",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900401575",
"telephone_number": "323-889-7365",
"fax_number": "323-889-7824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CITADEL DR",
"address_2": "SUITE 490",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900401575",
"telephone_number": "323-889-7365",
"fax_number": "323-889-7824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "EDUARDO",
"middle_name": "ALBERTO",
"name_prefix": "Mr.",
"credential": "MPAP, PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-20",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA19273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PHYSICIAN ASSIST",
"identifier": "PA19273",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.