Individual provider Active NPI

Silvia Alonzo, MS, PA-C

  • Medical Physician Assistant
  • Diamond Bar, CA
National Provider Identifier
1942586623
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA21842 Issued in CA
Practice address
1514 Valley Vista Dr
Diamond Bar, CA 91765-3929
Phone
(909) 860-1144
Fax
(909) 860-7684
NPI assigned
Oct 26, 2011
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA21842 CA Primary

Addresses

Primary practice location

1514 Valley Vista Dr
Diamond Bar, CA 91765-3929

Mailing address

1514 Valley Vista Dr
Diamond Bar, CA 91765-3929
Phone (909) 860-1144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address salonzo1373452@oc.providencedirect.org

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130719000399 CA Practitioner - Physician Assistant 2365683240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006

1514 Valley Vista Dr
Diamond Bar, CA 91765-3929
Phone (909) 860-1144

253 S Diamond Bar Blvd
Diamond Bar, CA 91765-1606
Phone (909) 860-1144

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince May 16, 2013 Accepting new patients
Pih Health Physicians CurrentSince May 16, 2013 Accepting new patients
Providence Medical Foundation CurrentSince Sep 26, 2016 Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1942586623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 VALLEY VISTA DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653929",
            "telephone_number": "909-860-1144",
            "fax_number": "909-860-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 VALLEY VISTA DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653929",
            "telephone_number": "909-860-1144",
            "fax_number": "909-860-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONZO",
        "first_name": "SILVIA",
        "credential": "MS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "salonzo1373452@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1514 Valley Vista Dr",
            "city": "Diamond Bar",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917653929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.