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ALEX JOSEPH FORTIN
NPI 1417611583
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since October 26, 2021
34141 FARENHOLT AVE, SAN DIEGO, CA 92134(619) 532-7968 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alex Joseph Fortin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEX JOSEPH FORTIN (NPI 1417611583) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1417611583
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEX JOSEPH FORTIN
Location Address34141 FARENHOLT AVESan Diego, CA 92134-7000
Mailing Address5423 Lake Murray Blvd Apt 14La Mesa, CA 91942-1552 · (774) 360-7365
Phone(619) 532-7968
Sole ProprietorNo
Enumeration DateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
✔ NPI 1417611583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
34141 FARENHOLT AVE, San Diego, CA 92134
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alex Fortin's NPI number?

The NPI number for Alex Fortin is 1417611583. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Alex Fortin located?

Alex Fortin practices at 34141 Farenholt Ave, San Diego, CA 92134. The listed phone number is (619) 532-7968.

What is Alex Fortin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Alex Fortin was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.