Wencylito Alivia, REGISTERED NURSE

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

95236780 Issued in CA

Practice address

210 W San Bernardino Rd
Covina, CA 91723-1515

Phone

(626) 938-7650

NPI assigned

Jul 28, 2023

Last updated

Jul 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glen-Ivy Hospice, Inc.

  • Community Based Hospice Care Agency
  • Norwalk, CA
  • NPI 1497384226
  NPD Authorized official

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1861173189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 QUIROGA LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364771",
            "telephone_number": "818-913-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231515",
            "telephone_number": "626-938-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIVIA",
        "first_name": "WENCYLITO",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95236780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Alfaro
• Melanie Alfaro
• Michelle Antonia Alfaro
• Susan Alfaro
• Sajid Ali, M.D.
• Alj Hospice Care Inc
• Sam Alkelani
• All About Family Therapy, Inc.
• All Wisdom Health Corporation (Precision Pain Care Center)
• Karen Allan, LMFT

• Adult Psychiatric/Mental Health Registered Nurse in Covina, CA
• Providers in Covina, CA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.