Individual provider Active NPI

Eduardo Alberto Alvarado, MPAP, PAC

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1497955199
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19273 Issued in CA
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. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19273CAMDOccupational Therapist
PA19273CAMDPhysician Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19273 CA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
PA19273OtherCANATIONAL 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.

Verify at the official NPI Registry.