Individual provider Active NPI

Fabian Alvarado, FNP

  • Family Nurse Practitioner
  • Royal Oaks, CA
National Provider Identifier
1578891859
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP19343 Issued in CA
Practice address
29 Bishop St Ste a
Royal Oaks, CA 95076-5266
Phone
(831) 728-2505
Fax
(831) 728-2636
NPI assigned
Nov 25, 2009
Last updated
May 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP19343 CA Primary

Addresses

Primary practice location

29 Bishop St Ste a
Royal Oaks, CA 95076-5266

Mailing address

1430 Freedom Blvd
Watsonville, CA 95076-2780
Phone (831) 728-2505

Other identifiers 1

IdentifierTypeStateIssuer
00NP19343MedicaidCA

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
I20100301000417 CA Practitioner - Nurse Practitioner 8921143025 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP19343CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Salud del Valle de Salinas Current Accepting new patients
Clinica de Salud del Valle de Salinas CurrentSince Oct 24, 2024 Accepting new patients
Salud Para la Gente CurrentSince Sep 18, 2023 Accepting new patients
Salud Para la Gente CurrentSince Sep 18, 2023 Accepting new patients
Clinica de Salud del Valle de Salinas Past Accepting new patients
Karuk Tribe Past Accepting new patients
Karuk Tribe Past Accepting new patients

Locations

55 Plaza Cir
Ste A
Salinas, CA 93901
Phone (831) 757-0434

195 Aviation Way
Ste 200
Watsonville, CA 95076

204 E Beach St
Watsonville, CA 95076
Phone (831) 763-3413

Interoperability endpoints

  • Direct secure messaging: fabian.alvarado.p1@direct.csvs.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1578891859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 FREEDOM BLVD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762780",
            "telephone_number": "831-728-2505",
            "fax_number": "831-728-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BISHOP ST STE A",
            "city": "ROYAL OAKS",
            "state": "CA",
            "postal_code": "950765266",
            "telephone_number": "831-728-2505",
            "fax_number": "831-728-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "FABIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-25",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP19343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00NP19343",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oaks, CA

Sources for this page

Verify at the official NPI Registry.