Active NPI
Providence M Alvira, AU.D CCC-A
- Audiologist-Hearing Aid Fitter
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 1745
- Practice address
- 6367 Alvarado CT
Ste 101
San Diego, CA 92120-4904 - Phone
- (619) 583-7002
- Fax
- (619) 583-9404
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 1745 | CA | Primary |
Addresses
Primary practice location
6367 Alvarado CT
Ste 101
San Diego, CA 92120-4904
Mailing address
12927 Sleepy Wind St
Moorpark, CA 93021-2935
Phone (310) 989-3092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669645776 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Florida College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1820 Marron Rd
Suite 102
Carlsbad, CA 92008-1177
Phone (760) 434-0125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashish K Wadhwa MD a Medical Corporation | Current | Accepting new patients | |
| Serendipity Hearing Inc | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Palomar Health | Past | Accepting new patients |
Locations
1820 Marron Rd
Ste 102
Carlsbad, CA 92008
Phone (760) 434-0125
310 Third Ave
Ste B21
Chula Vista, CA 91910
Phone (619) 426-0841
310 Third Ave
Ste C11
Chula Vista, CA 91910
Phone (619) 426-0841
12630 Monte Vista Rd
Ste 206
Poway, CA 92064
Phone (858) 355-0244
399 E Highland Ave
Ste 117
San Bernardino, CA 92404
Phone (909) 372-0016
6367 Alvarado Ct
Ste 101
San Diego, CA 92120
Phone (619) 583-7002
5555 Garden Grove Blvd
Ste 200
Westminster, CA 92683
Phone (714) 804-5725
5000 Cheshire Pkwy N
Plymouth, MN 55446
Phone (888) 333-9152
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.
-
- Hearing Aid Equipment
- Westminister, CA
- NPI 1760783344
Audiologist-Hearing Aid Fitter
-
- Otolaryngology Physician
- Poway, CA
- NPI 1194814731
-
- Otolaryngology Physician
- Carlsbad, CA
- NPI 1538302997
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1669645776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12927 SLEEPY WIND ST",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930212935",
"telephone_number": "310-989-3092",
"fax_number": "805-530-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6367 ALVARADO CT",
"address_2": "STE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921204904",
"telephone_number": "619-583-7002",
"fax_number": "619-583-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVIRA",
"first_name": "PROVIDENCE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "AU.D CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "1745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669645776",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.