Organization Active NPI

Israel J Alvarado MD PC

Doing business as San Xavier Medical

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1538535133
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ISRAEL J ALVARADO MD PC
Doing business as
San Xavier Medical
Practice address
1930 Village Center Cir # 3-286
Las Vegas, NV 89134-6299
Phone
(702) 809-5483
NPI assigned
Aug 18, 2015
Last updated
Aug 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Israel J Alvarado, MD
Title
President
Phone
(702) 809-5483

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU
Nurse Practitioner 363L00000X NU
Internal Medicine Physician 207R00000X NU Primary
Clinical Genetics (M.D.) Physician 207SG0201X NU

Addresses

Primary practice location

1930 Village Center Cir # 3-286
Las Vegas, NV 89134-6299

Mailing address

1930 Village Center Cir
#3-286
Las Vegas, NV 89134-6299
Phone (702) 809-5483

Other names 1

  • SAN XAVIER MEDICAL Doing business as

National Provider Directory

National Provider Directory

Locations

1930 Village Center Cir
#3286
Las Vegas, NV 89134
Phone (702) 809-5483

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1538535133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR",
            "address_2": "#3-286",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346299",
            "telephone_number": "702-809-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR # 3-286",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346299",
            "telephone_number": "702-809-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISRAEL J ALVARADO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-809-5483",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN XAVIER MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAN XAVIER MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.