Active NPI
Alvin Medalla Topacio, RN, MSN, FNP-C
- Nurse Practitioner
- Fresno, CA
National Provider Identifier
1609200898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP23565
- Practice address
- 2315 E. Illinois Ave.
Fresno, CA 93701 - Phone
- (559) 459-4243
- Fax
- (559) 459-2407
- NPI assigned
- Aug 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN701069 | CA | |
| Nurse Practitioner | 363L00000X | NP23565 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | 23565 | CA |
Addresses
Primary practice location
2315 E. Illinois Ave.
Fresno, CA 93701
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1424 Hummingbird Way
Banning, CA 92220-7206
Phone (626) 250-4912
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN701069 | CA | MD | Registered Nurse |
| NP23565 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Centers Inc | Current | Accepting new patients | |
| Community Medical Centers, Inc. | Current | Accepting new patients | |
| Community Medical Centers, Inc | Current | Accepting new patients |
Locations
701 E Channel St
Stockton, CA 95202
Phone (209) 944-4700
7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816
730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500
Interoperability endpoints
- alvin.topacio.p1@direct.cmcentersinc.nextgenshare.com
- atopacio768677@direct.ochin.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Banning, CA
- NPI 1427922392
-
- Federally Qualified Health Center (FQHC)
- Esparto, CA
- NPI 1588729180
-
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1891529061
-
- Federally Qualified Health Center (FQHC)
- Stockton, CA
- NPI 1649525544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1609200898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 E DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211431",
"telephone_number": "559-443-2682",
"fax_number": "559-443-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 E. ILLINOIS AVE.",
"city": "FRESNO",
"state": "CA",
"postal_code": "93701",
"telephone_number": "559-459-4243",
"fax_number": "559-459-2407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOPACIO",
"first_name": "ALVIN",
"middle_name": "MEDALLA",
"credential": "RN, MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-25",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN701069",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP23565",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "23565",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.