Individual provider Active NPI

Rosaura De Alvarez, M.S., AMFT

  • Marriage & Family Therapist
  • Fairfield, CA
National Provider Identifier
1770192023
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
159847 Issued in CA
Practice address
1745 Enterprise Dr Ste 1a
Fairfield, CA 94533-5838
Phone
(707) 999-4050
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 159847 CA Primary

Addresses

Primary practice location

1745 Enterprise Dr Ste 1a
Fairfield, CA 94533-5838

Mailing address

110 Banbury Way
American Canyon, CA 94503-4118
Phone (707) 227-6683

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
159847CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1770192023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BANBURY WAY",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945034118",
            "telephone_number": "707-227-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 ENTERPRISE DR STE 1A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335838",
            "telephone_number": "707-999-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ALVAREZ",
        "first_name": "ROSAURA",
        "credential": "M.S., AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "159847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.