Active NPI
Israel J Alvarado MD PC
Doing business as San Xavier Medical
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1538535133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.