Alexander Bernard Devora

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1330101118 Issued in CA

Practice address

600 Bernard St
Bakersfield, CA 93305-3020

Phone

(661) 325-1817

Fax

(661) 325-3929

NPI assigned

Feb 6, 2019

Last updated

Feb 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bakersfield Recovery Services, Inc. Jasons Retreat

  dba C.B.C.C Inc.

  • Substance Abuse Rehabilitation Facility
  • Bakersfield, CA
  • NPI 1942332655
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1689139420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3218",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933853218",
            "telephone_number": "661-325-1817",
            "fax_number": "661-325-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BERNARD ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933053020",
            "telephone_number": "661-325-1817",
            "fax_number": "661-325-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORA",
        "first_name": "ALEXANDER",
        "middle_name": "BERNARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1330101118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCAPP",
            "identifier": "R1330101118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desired Beauty Surgical & Medical Center
• Allison Mariah Desjarlais
• Vipul Raman Dev, M.D.
• Ned Devasia, MD
• Christina Devlin
• Claudia Devora
• Stephen Louis Devore, MFT
• Devoted Hearts Senior Care Home LLC
• Blake Devries, PHYSICAL THERAPIST
• Hollie Andreana Dewitt, FNP-C

• Addiction (Substance Use Disorder) Counselor in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.