Active NPI
Jessie Alvarez
- Addiction (Substance Use Disorder) Counselor
- Garden Grove, CA
National Provider Identifier
1831912484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1576000824
- Practice address
- 12781 Josephine St
Garden Grove, CA 92841 - Phone
- (657) 251-4700
- NPI assigned
- Nov 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1576000824 | CA | Primary |
Addresses
Primary practice location
12781 Josephine St
Garden Grove, CA 92841
Mailing address
12781 Josephine St
Garden Grove, CA 92841
Phone (657) 251-4700
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
| License | State | Type | Specialty |
|---|---|---|---|
| R1576000824 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734220800000",
"number": "1831912484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12781 JOSEPHINE ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "92841",
"telephone_number": "657-251-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12781 JOSEPHINE ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "92841",
"telephone_number": "657-251-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "JESSIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-04",
"last_updated": "2024-12-15",
"certification_date": "2024-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1576000824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.