Alice Corpuz Famador, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG12240042 Issued in CA

Practice address

1320 E Madison Ave
El Cajon, CA 92021-8531

Phone

(619) 456-9800

NPI assigned

Dec 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry a Richardson MD a Medical CorporationGroup PAC ID 0749537801, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Henry a. Richardson, MD a Medical Corporation

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Chula Vista, CA
  • NPI 1447768197
  Care Compare group
• Emily'S Medical Group Apc

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1265775845
  NPD
• Grossmont Hospital Corporation

  • General Acute Care Hospital
  • La Mesa, CA
  • NPI 1528041811
  NPD (past)

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

{
    "created_epoch": "1735084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735084800000",
    "number": "1750199543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 PASEO LOS GATOS",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144431",
            "telephone_number": "619-395-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920218531",
            "telephone_number": "619-456-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMADOR",
        "first_name": "ALICE",
        "middle_name": "CORPUZ",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-25",
        "last_updated": "2024-12-25",
        "certification_date": "2024-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "AG12240042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaric Fairchild
• Faith Home Health, Inc.
• Maria Corazon Fajardo, DDS
• Brianna Nicole Falcon
• Michael Falcone
• Gabriel Rey Famador, LVN
• Family Care Physical Therapy, Inc
• Family Focus Christian Counseling
• Family Health Centers of San Diego
• Family Health Centers of San Diego

• Gerontology Nurse Practitioner in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.