Individual provider Active NPI

Diana A Alvarez

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1770191397
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
94685 Issued in CA
Practice address
10901 Macarthur Blvd Ste 201
Oakland, CA 94605-5200
Phone
(510) 328-3880
Fax
(510) 373-2482
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 94685 CA Primary

Addresses

Primary practice location

10901 Macarthur Blvd Ste 201
Oakland, CA 94605-5200

Mailing address

PO Box 543
San Lorenzo, CA 94580-0543
Phone (510) 928-9424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114002825 CA Practitioner - Clinical Social Worker 9234667593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
94685CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda County CurrentSince Nov 8, 2024 Accepting new patients
County of Alameda CurrentSince Nov 8, 2024 Accepting new patients

Locations

2045 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 667-7500

409 Jackson St
Ste 100
Hayward, CA 94544
Phone (510) 383-5103

7200 Bancroft Ave
Ste 125A
Oakland, CA 94605
Phone (510) 777-3800

3730 Hopyard Rd
Ste 103
Pleasanton, CA 94588
Phone (925) 462-3010

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1770191397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945800543",
            "telephone_number": "510-928-9424",
            "fax_number": "510-373-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 MACARTHUR BLVD STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055200",
            "telephone_number": "510-328-3880",
            "fax_number": "510-373-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "DIANA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "94685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.