Diana G Alvizo, PAC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA62368 Issued in CA

Practice address

520 W 17TH St Ste 1
Santa Ana, CA 92706-3614

Phone

(714) 972-2727

Fax

(714) 972-1193

NPI assigned

Feb 16, 2023

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

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinica Buena Salud IncGroup PAC ID 2466549514, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Clinica Buena Salud Inc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1982779542
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1760180970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W 17TH ST STE 1",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063614",
            "telephone_number": "714-972-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W 17TH ST STE 1",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063614",
            "telephone_number": "714-972-2727",
            "fax_number": "714-972-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVIZO",
        "first_name": "DIANA",
        "middle_name": "G",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA62368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "PA62368",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxana Alvarez
• Wendy Sarahi Alvarez
• Zaira Alvarez, BEHAVIOR TECHNICIAN
• Dulce Alvarran
• Gabriel Alves
• Mary Renee Alvo, AMFT, APCC
• Adrian Amador Godoy
• Amanda Rae Kronquist DDS Inc
• Christopher Amann
• Heather R. Amante, FNP-C

• Family Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.