Active NPI
Gabriel David Alvarado, CADC1
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
National Provider Identifier
1740726348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CI5500216
- Practice address
- 600 E 7TH St Ste 105
Los Angeles, CA 90021-1439 - Phone
- (213) 537-0110
- Fax
- (213) 537-0880
- NPI assigned
- Jan 6, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CI5500216 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CII5500216 | CA |
Addresses
Primary practice location
600 E 7TH St Ste 105
Los Angeles, CA 90021-1439
Mailing address
2514 Crenshaw Blvd
Los Angeles, CA 90016-3026
Phone (562) 454-2534
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 |
|---|---|---|---|
| CI5500216 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| CII5500216 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2ND Chance for Recovery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1346589777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1740726348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900163026",
"telephone_number": "562-454-2534",
"fax_number": "213-537-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E 7TH ST STE 105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900211439",
"telephone_number": "213-537-0110",
"fax_number": "213-537-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "GABRIEL",
"middle_name": "DAVID",
"credential": "CADC1",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-06",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CI5500216",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CII5500216",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.