Active NPI
John Peter Alvarado
- Clinical Social Worker
- Modesto, CA
National Provider Identifier
1699971952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110079
- Practice address
- 103 Modesto Ave
Modesto, CA 95354-0414 - Phone
- (209) 527-4597
- Fax
- (209) 527-4599
- NPI assigned
- Jun 25, 2007
- Last updated
- Feb 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | ASW74656 | CA | |
| Clinical Social Worker | 1041C0700X | 110079 | CA | Primary |
Addresses
Primary practice location
103 Modesto Ave
Modesto, CA 95354-0414
Mailing address
1917 Memorial Drive
Ceres, CA 95307
Phone (209) 281-6179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YP2500X | Other | CA | STANISLAUS COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW74656 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1699971952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 MEMORIAL DRIVE",
"city": "CERES",
"state": "CA",
"postal_code": "95307",
"telephone_number": "209-281-6179",
"fax_number": "209-541-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MODESTO AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953540414",
"telephone_number": "209-527-4597",
"fax_number": "209-527-4599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "JOHN",
"middle_name": "PETER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "ASW74656",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "110079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STANISLAUS COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES",
"identifier": "101YP2500X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.