Individual provider Active NPI

Celia R Alvarez-Reeder, PA-C

  • Medical Physician Assistant
  • Tempe, AZ
National Provider Identifier
1730207184
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2569 Issued in AZ
Practice address
2033 E Warner Rd
Suite 109
Tempe, AZ 85284-3417
Phone
(480) 820-5525
Fax
(480) 831-6755
NPI assigned
Mar 26, 2007
Last updated
Apr 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2569 AZ Primary

Addresses

Primary practice location

2033 E Warner Rd
Suite 109
Tempe, AZ 85284-3417

Mailing address

2033 E Warner Rd
Suite 109
Tempe, AZ 85284-3417
Phone (480) 820-5525

Other identifiers 1

IdentifierTypeStateIssuer
711946MedicaidAZ

Other names 1

  • Celia Alvarez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210729001434 AZ Practitioner - Physician Assistant 5395148241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2569AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Park Health Center CurrentSince Sep 15, 2025 Accepting new patients
Mountain Park Health Center Current Accepting new patients
Mountain Park Health Center CurrentSince Sep 15, 2025 Accepting new patients
Canyon Pediatrics, Inc PastSince Feb 18, 2024 Accepting new patients
Mountain Park Health Center - Dental Past Accepting new patients
Canyon Pediatrics, Inc PastSince Mar 31, 2024 Accepting new patients

Locations

3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492

635 E Baseline Rd
Phoenix, AZ 85042

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBGIBD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1730207184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 E WARNER RD",
            "address_2": "SUITE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843417",
            "telephone_number": "480-820-5525",
            "fax_number": "480-831-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 E WARNER RD",
            "address_2": "SUITE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843417",
            "telephone_number": "480-820-5525",
            "fax_number": "480-831-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ-REEDER",
        "first_name": "CELIA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711946",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELIA",
            "last_name": "ALVAREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.