Individual provider Active NPI

Kristal Alfaro-Madrid, FNP- BC

  • Family Nurse Practitioner
  • Sylmar, CA
National Provider Identifier
1669350310
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95036795 Issued in CA
Practice address
12737 Glenoaks Blvd Ste 26
Sylmar, CA 91342-4776
Phone
(818) 362-1758
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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 95036795 CA Primary

Addresses

Primary practice location

12737 Glenoaks Blvd Ste 26
Sylmar, CA 91342-4776

Mailing address

2764 Bouquet LN
Palmdale, CA 93551-1592
Phone (661) 236-9152

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
I20260501000844 CA Practitioner - Nurse Practitioner 9638647225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Antelope Valley Emergency Medical Associates IncGroup PAC ID 7517851959, 34 clinicians

Practice addresses (Care Compare)

1600 W Ave J
Lancaster, CA 93534-2814
Phone (661) 949-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95036795CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amir Parvinchi MD Inc CurrentSince Aug 25, 2025 Accepting new patients

Locations

12737 Glenoaks Blvd
Ste 26
Sylmar, CA 91342
Phone (818) 362-1758

Organizations & group practices 2

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": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1669350310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 BOUQUET LN",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511592",
            "telephone_number": "661-236-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12737 GLENOAKS BLVD STE 26",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424776",
            "telephone_number": "818-362-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFARO-MADRID",
        "first_name": "KRISTAL",
        "credential": "FNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.