Mariella Alvarellos, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A85287 Issued in CA

Practice address

901 Oak Park Blvd
Suite 101
Pismo Beach, CA 93449-3408

Phone

(805) 489-2205

Fax

(805) 489-2206

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ventana Health and Medical Center

  • Family Medicine Physician
  • Pismo Beach, CA
  • NPI 1699758565
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1619995545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934481410",
            "telephone_number": "805-489-2205",
            "fax_number": "805-489-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 OAK PARK BLVD",
            "address_2": "SUITE 101",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493408",
            "telephone_number": "805-489-2205",
            "fax_number": "805-489-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARELLOS",
        "first_name": "MARIELLA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Ryan Acres, D.C.
• Terry Agin, R.D.O.
• Robert Armstrong Allis, P.T.
• Shelly Marie Allis, P.T.
• Amy Anderberg
• Aos Professional Inc
• Arroyo Medical Group, Inc
• Associated Surgeons of San Luis Obispo
• Associated Surgeons of San Luis Obispo

• Family Medicine Physician in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.