Edgardo G. Alicaway, M. D., P. C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A50500 Issued in CA

Legal business name

EDGARDO G. ALICAWAY, M. D., P. C.

Practice address

1800 Sullivan Ave
Suite 508
Daly City, CA 94015-2228

Phone

(650) 756-2597

Fax

(650) 756-6371

NPI assigned

Oct 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Edgardo Genebraldo Alicaway, M. D.NPI 1912954298

Title

Owner

Phone

(650) 756-2597

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3575/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edgardo Alicaway, MD

  • Neurology Physician
  • Daly City, CA
  • NPI 1912954298
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1760718670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE",
            "address_2": "SUITE 508",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152228",
            "telephone_number": "650-756-2597",
            "fax_number": "650-756-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE",
            "address_2": "SUITE 508",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152228",
            "telephone_number": "650-756-2597",
            "fax_number": "650-756-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGARDO G. ALICAWAY, M. D., P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "ALICAWAY",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "GENEBRALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-756-2597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A50500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Ebrahimi, DPM
• Sara Eccleston
• Azalei Echano
• Eddie Yuti Lo, MD, PC
• Eric Edelson
• Edgewood Center for Children & Families
• Edward Sun M.D., Inc.
• Bjorn Carl Johan Eek, M.D.
• Katherine Stock Eggers
• Nancy Lahey Ehat, OTR/L

• Neurology Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.