Individual provider Active NPI

Miguel Angel Dario Alvarellos, M.D.

  • Psychiatry Physician
  • Chico, CA
National Provider Identifier
1720189939
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A94524 Issued in CA
Practice address
260 Cohasset Rd Ste 120
Chico, CA 95926-2282
Phone
(530) 894-5933
Fax
(714) 838-8830
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A94524 CA Primary

Addresses

Primary practice location

260 Cohasset Rd Ste 120
Chico, CA 95926-2282

Mailing address

8502 E Chapman Ave # 235
Orange, CA 92869-2461
Phone (310) 222-1605

Other practice location 1

100 W Carson St # 498
Carson, CA 90745-2601
Phone (310) 222-1605

Other identifiers 1

IdentifierTypeStateIssuer
00A94524MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090501000305 CA Practitioner - Psychiatry 3173671013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A94524CAMDPsychiatry Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
KCS, Inc. CurrentSince Jul 22, 2022 Accepting new patients
KCS, Inc. CurrentSince Jul 22, 2022 Accepting new patients
Youth for Change CurrentSince Feb 6, 2022 Accepting new patients

Locations

451 W Lincoln Ave
Ste 100
Anaheim, CA 92805
Phone (714) 507-3770

7212 Orangethorpe Ave
Ste 9A
Buena Park, CA 90621
Phone (714) 449-1125

260 Cohasset Rd
Ste 120
Chico, CA 95926
Phone (530) 877-1965

19742 MacArthur Blvd
Ste 250
Irvine, CA 92612
Phone (949) 486-8530

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: miguel.alvarellos.1@17363.direct.athenahealth.com
  • Direct secure messaging: miguel.alvarellos.p1@direct.kcs.nextgenshare.com

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1720189939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 E CHAPMAN AVE # 235",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928692461",
            "telephone_number": "310-222-1605",
            "fax_number": "714-838-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 COHASSET RD STE 120",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262282",
            "telephone_number": "530-894-5933",
            "fax_number": "714-838-8830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Carson St # 498",
            "address_purpose": "LOCATION",
            "city": "Carson",
            "state": "CA",
            "postal_code": "907452601",
            "country_code": "US",
            "telephone_number": "310-222-1605",
            "fax_number": "714-838-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVARELLOS",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL DARIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A94524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A94524",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.