Active NPI
Miguel Angel Dario Alvarellos, M.D.
- Psychiatry Physician
- Chico, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A94524
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A94524 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A94524 | CA | MD | Psychiatry Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KCS, Inc. | Current | Accepting new patients | |
| KCS, Inc. | Current | Accepting new patients | |
| Youth for Change | Current | 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
- miguel.alvarellos.1@17363.direct.athenahealth.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1992951180
-
- Adolescent and Children Mental Health Clinic/Center
- Paradise, CA
- NPI 1427701903
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.