Individual provider Active NPI

Alvin Mena Cantero

  • Family Nurse Practitioner
  • Fresno, TX
National Provider Identifier
1669845822
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129563 Issued in TX
Practice address
1810 Olive Pine Dr
Fresno, TX 77545-2131
Phone
(713) 545-0752
NPI assigned
Nov 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP129563 TX Primary

Addresses

Primary practice location

1810 Olive Pine Dr
Fresno, TX 77545-2131

Mailing address

1810 Olive Pine Dr
Fresno, TX 77545-2131
Phone (713) 545-0752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160810000250 TX Practitioner - Nurse Practitioner 5890089106 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Multi-Specialty CurrentSince Feb 26, 2024 Accepting new patients
Alvin Clinica Familiar, Inc Multi-Specialty CurrentSince Jun 3, 2016 Accepting new patients
TMH Physician Associates PLLC Multi-Specialty CurrentSince Feb 26, 2024 Accepting new patients

Locations

8690 W Bellfort Ave
Houston, TX 77031

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

8690 W Bellfort Ave
#A
Houston, TX 77031
Phone (832) 831-8925

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1669845822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 OLIVE PINE DR",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775452131",
            "telephone_number": "713-545-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 OLIVE PINE DR",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775452131",
            "telephone_number": "713-545-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA CANTERO",
        "first_name": "ALVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, TX

Sources for this page

Verify at the official NPI Registry.