Individual provider Active NPI

Avriel Alegre, PA-C

  • Surgical Physician Assistant
  • San Jose, CA
National Provider Identifier
1548046360
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA65822 Issued in CA
Practice address
2577 Samaritan Dr Ste 725
San Jose, CA 95124-4105
Phone
(650) 267-3052
NPI assigned
Sep 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA65822 CA Primary

Addresses

Primary practice location

2577 Samaritan Dr Ste 725
San Jose, CA 95124-4105

Mailing address

PO Box 276950
Sacramento, CA 95827-6950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251212002138 CA Practitioner - Physician Assistant 9335633734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Assistant Surgical Assist IncGroup PAC ID 8123271749, 35 clinicians

Practice addresses (Care Compare)

1651 Creekside Dr
Suite 100
Folsom, CA 95630-3833
Phone (916) 673-1990

Hospital & facility affiliations

  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65822CAMDPharmacist
PA65822CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Assistant Surgical Assist, Inc Surgical CurrentSince Oct 19, 2025 Accepting new patients

Locations

1651 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (702) 458-2304

6520 Lonetree Blvd
Ste 2009
Rocklin, CA 95765
Phone (702) 458-2304

Organizations & group practices 2

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 2

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1548046360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276950",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958276950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR STE 725",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244105",
            "telephone_number": "650-267-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEGRE",
        "first_name": "AVRIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA65822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.