NPIMap

Individual provider Active NPI

Irene Yi-Xian Kwan, FNP

  • Nurse Practitioner
  • Alameda, CA
National Provider Identifier
1508038704
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95000342 Issued in CA
Practice address
2433 Central Ave Ste a
Alameda, CA 94501-4564
Phone
(510) 521-2300
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95000342 CA Primary
Family Nurse Practitioner 363LF0000X 95000342 CA

Addresses

Primary practice location

2433 Central Ave Ste a
Alameda, CA 94501-4564

Mailing address

2433 Central Ave Ste a
Alameda, CA 94501-4564
Phone (510) 521-2300

Other practice location 1

1353 Washington Ave Ste D2
San Leandro, CA 94577-3645
Phone (510) 608-4836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141113001217 CA Practitioner - Nurse Practitioner 5890928410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

2433 Central Ave
Suite a
Alameda, CA 94501-4564
Phone (510) 521-2300

Hospital & facility affiliations

  • Alameda Hospital Hospital, Alameda, CA, CCN 050211
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95000342CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance CurrentSince Apr 10, 2024 Accepting new patients
Carbon Health Primary Care of California PC CurrentSince Aug 1, 2022 Accepting new patients
Affinity Medical Group Past Accepting new patients

Locations

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

2433 Central Ave
Ste A
Alameda, CA 94501
Phone (510) 521-2300

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

1390 Market St
Ste 109
San Francisco, CA 94102
Phone (415) 918-5766

1353 Washington Ave
Ste D2
San Leandro, CA 94577
Phone (510) 608-4836

Interoperability endpoints

  • Direct secure messaging: ikwan448733@direct.stanfordhealthcare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1508038704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 CENTRAL AVE STE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014564",
            "telephone_number": "510-521-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 CENTRAL AVE STE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014564",
            "telephone_number": "510-521-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1353 Washington Ave Ste D2",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945773645",
            "country_code": "US",
            "telephone_number": "510-608-4836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWAN",
        "first_name": "IRENE",
        "middle_name": "YI-XIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95000342",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.