Individual provider Active NPI

Andrea Crystan Alam, ARNP

  • Primary Care Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1790342145
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95008152 Issued in CA
Practice address
1329 Sullivan
Irvine, CA 92614-4268
Phone
(949) 378-3320
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95008152 CA Primary

Addresses

Primary practice location

1329 Sullivan
Irvine, CA 92614-4268

Mailing address

1329 Sullivan
Irvine, CA 92614-4268
Phone (949) 378-3320

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aalam@priresearch.com

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

State licenses

LicenseStateTypeSpecialty
95008152CAMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1790342145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 SULLIVAN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144268",
            "telephone_number": "949-378-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 SULLIVAN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144268",
            "telephone_number": "949-378-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "ANDREA",
        "middle_name": "CRYSTAN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95008152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aalam@priresearch.com",
            "affiliation": "N",
            "address_1": "1329 Sullivan",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926144268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.