Cody Alvarado, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34383TLG Issued in CA

Practice address

12625 Frederick St Ste B10
Moreno Valley, CA 92553-5232

Phone

(951) 571-2192

NPI assigned

Sep 4, 2019

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• National Vision, Inc.

  • Optician
  • Moreno Valley, CA
  • NPI 1689118275
  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1992354849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 W 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053803",
            "telephone_number": "909-205-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 FREDERICK ST STE B10",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535232",
            "telephone_number": "951-571-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34383TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ali Alsouqi Shaibi, DO
• James Alston
• Althaea Manor Care LLC
• Gypsy Alvarado Covarrubias
• Christian Mason Alvarado
• Erica Mahin Alvarado
• Jasmin Alvarado
• Yesenia Alvarado
• Alvarez & Bernardo Dental Corporatio
• Alvin Nector Alvarez II

• Optometrist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.