John G Alevizos, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

20A6108 Issued in CA

Practice address

15751 Rockfield Blvd
Suite 100
Irvine, CA 92618-2832

Phone

(949) 206-9100

Fax

(949) 206-1648

NPI assigned

Jul 7, 2005

Last updated

Aug 22, 2013By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• John G. Alevizos, D.O., a Professional Medical Corporation

  dba Edinger Urgent Care

  • Occupational Medicine Physician
  • Santa Ana, CA
  • NPI 1952919763
  NPD (past) Authorized official
• Tustin Irvine Medical Group, Inc

  • Family Medicine Physician
  • Irvine, CA
  • NPI 1366753923
  Authorized official Same address or phone
• Tustin Irvine Medical Group, Inc.

  • Family Medicine Physician
  • Irvine, CA
  • NPI 1588898159
  Authorized official Same address or phone
• Sports and Spine Orthopaedics

  • Orthopaedic Surgery Physician
  • Torrance, CA
  • NPI 1811936743
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1689671380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N TUSTIN AVE",
            "address_2": "SUITE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053605",
            "telephone_number": "714-245-0800",
            "fax_number": "714-285-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15751 ROCKFIELD BLVD",
            "address_2": "SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182832",
            "telephone_number": "949-206-9100",
            "fax_number": "949-206-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEVIZOS",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "20A6108",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "20A6108",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A6108",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Llesenia Aleman
• Emnet Alemu, M.D.
• Farrokh Alemzadeh, MD
• Mary Alessi, PA-C
• Alethia Mind and Wellness
• Alex Nemt LLC
• Alexander Chang, DDS, Inc. (Formosa Dental Arts)
• Alexis Alexander
• Janice Elaine Alexander, OTR/L
• Jennifer Elizabeth Alexander

• Adult Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.