Active NPI
Federico Alva, M.D.
- Gynecologic Oncology Physician
- Northridge, CA
National Provider Identifier
1649200379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- A031407
- Practice address
- 18433 Roscoe Blvd
#203
Northridge, CA 91325-4108 - Phone
- (818) 349-5228
- Fax
- (818) 349-2551
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | A031407 | CA | Primary |
Addresses
Primary practice location
18433 Roscoe Blvd
#203
Northridge, CA 91325-4108
Mailing address
18433 Roscoe Blvd
#203
Northridge, CA 91325-4108
Phone (818) 349-5228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A30407 | Medicaid | CA |
Other names 1
- Dr. Federico Alva
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A031407 | CA | MD | Gynecologic Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649200379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18433 ROSCOE BLVD",
"address_2": "#203",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254108",
"telephone_number": "818-349-5228",
"fax_number": "818-349-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18433 ROSCOE BLVD",
"address_2": "#203",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254108",
"telephone_number": "818-349-5228",
"fax_number": "818-349-2551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVA",
"first_name": "FEDERICO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "CA",
"license": "A031407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A30407",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FEDERICO",
"last_name": "ALVA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.