Organization Active NPI

Alvarado Centro Medico, Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1609905082
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G79820 Issued in CA
Legal business name
ALVARADO CENTRO MEDICO, INC
Practice address
504 S Alvarado St
211
Los Angeles, CA 90057-2914
Phone
(213) 413-6051
Fax
(213) 413-5209
NPI assigned
Mar 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Blanca Almeida, MD
Title
President
Phone
(213) 413-6051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G79820 CA Primary

Addresses

Primary practice location

504 S Alvarado St
211
Los Angeles, CA 90057-2914

Mailing address

504 S Alvarado St
211
Los Angeles, CA 90057-2914
Phone (213) 413-6051

National Provider Directory

National Provider Directory

Locations

504 S Alvarado St
Ste 211
Los Angeles, CA 90057
Phone (213) 413-6051

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609905082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S ALVARADO ST",
            "address_2": "211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572914",
            "telephone_number": "213-413-6051",
            "fax_number": "213-413-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S ALVARADO ST",
            "address_2": "211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572914",
            "telephone_number": "213-413-6051",
            "fax_number": "213-413-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVARADO CENTRO MEDICO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALMEIDA",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-413-6051",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.