Kimberly Alvarez
Rehabilitation Practitioner in San Diego, CA. Individual provider (NPI-1).
NPI number1114576972
StatusActive
Last updated in NPPESApr 16, 2025
Details
- NPI
- 1114576972
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Alvarez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2019
- Certification date
- Apr 16, 2025
- Last updated
- Apr 16, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
3491 Kurtz St Ste 150San Diego, CA 92110-4430
Phone 619-276-1176
Mailing address
3491 Kurtz St Ste 150San Diego, CA 92110-4430
Phone 619-276-1176
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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