Juan Elmer Alvarado, PA-C
Physician Assistant, Surgical in Norwalk, CA. Individual provider (NPI-1).
NPI number1285963678
StatusActive
Last updated in NPPESApr 20, 2011
Details
- NPI
- 1285963678
- Entity type
- Individual (NPI-1)
- Name
- Juan Elmer Alvarado
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 14, 2009
- Last updated
- Apr 20, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA20496 | CA | Yes |
| 282N00000X | General Acute Care Hospital | PA20496 | CA |
Practice location
10924 Hoback StNorwalk, CA 90650-3553
Phone 562-929-7420
Mailing address
10924 Hoback StNorwalk, CA 90650-3553
Phone 562-929-7420
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