Ma Cecilia Manuel Alfonso – Occupational Therapist

Key facts

NPI: 1992156335
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: OT 8633 (CA)
Practice address: 3555 Whipple Rd
Union City, CA 94587-1507
Phone: (510) 675-3231
NPI assigned: Jun 27, 2016
Sex: Female
Sole proprietor: Yes

Organizations & group practices 3

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

Permanente Medical Group Inc Internal Medicine Physician · Santa Clara, CA · NPI 1073606299

Medicare reassignment Care Compare group NPD CA
Permanente Medical Group, Inc. Clinical Medical Laboratory · Berkeley, CA · NPI 1083777163

Care Compare group
Permanente Medical Group, Inc Clinical Medical Laboratory · San Jose, CA · NPI 1497971584

NPD

Medicare Care Compare profile

Specialty: Occupational Therapist in Private Practice
Education: Other, 1999
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Permanente Medical Group Inc (10,928 clinicians)

Practice addresses (Care Compare)

3555 Whipple Rd
Union City, CA 94587-1507
Phone (510) 675-3080

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20161129002805	CA	Practitioner - Occupational Therapist in Private Practice	3577843036	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
OT 8633	CA	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Permanente Medical Group Inc		Current since Aug 8, 2016	Accepting new patients
Permanente Medical Group, Inc		Current since Aug 8, 2016	Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

3555 Whipple Rd
Union City, CA 94587
Phone (510) 454-1000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X	OT 8633	CA	Yes

Addresses

Primary practice location

3555 Whipple Rd
Union City, CA 94587-1507

Mailing address

3555 Whipple Rd
Union City, CA 94587-1507
Phone (510) 675-3231

Other names

Miss Cecilia Manuel Alfonso Other name

Electronic endpoints

Type	Endpoint	Use	Affiliation
SOAP URL	https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq	Health Information Exchange (HIE)	The Permanente Medical Group

Other providers in Union City, CA

All providers in Union City, CA · Occupational Therapist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.