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EDDIE ALBERTO ALVARADO JR. PA-C
NPI 1578327086
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since February 06, 2024PECOS Enrolled
450 30TH ST, OAKLAND, CA 94609(510) 869-9200 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Eddie Alberto Alvarado Jr. Pa-c NPPES

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

EDDIE ALBERTO ALVARADO JR. PA-C (NPI 1578327086) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578327086
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDDIE ALBERTO ALVARADO JR.Credential: PA-C
Location Address450 30TH STOakland, CA 94609-3302
Mailing Address370 Staten Ave Apt EOakland, CA 94610-3434 · (415) 240-0188
Phone(510) 869-9200
Sole ProprietorNo
Enumeration DateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
✔ NPI 1578327086 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.
450 30TH ST, Oakland, CA 94609
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eddie Alberto Alvarado Jr. Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOO MIN YOON
Physician Assistant
450 30TH ST
OAKLAND, CA 94609
Alameda County (510) 869-9200
RICHARD CARMAN PA-C
Physician Assistant
450 30TH ST
OAKLAND, CA 94609
Alameda County (510) 869-9200
JULIA REIER
Student in an Organized Health Care Education/Training Program
450 30TH ST
OAKLAND, CA 94609
Alameda County (510) 869-9200
ALEXANDRIA AMOUR
Physician Assistant
450 30TH ST
OAKLAND, CA 94609
Alameda County (510) 869-9200
JOHN R SALZMAN MD INC
Radiology (Radiation Oncology)
450 30TH ST, DEPT G800
OAKLAND, CA 94609
Alameda County (931) 432-2343
BRYAN CERRO
Physician Assistant
450 30TH ST
OAKLAND, CA 94609
Alameda County (510) 869-6511
DR. SHARON LYNN GORMAN PT, DPTSC, GCS
Physical Therapist (Geriatrics)
450 30TH ST, SUITE 3734
OAKLAND, CA 94609
Alameda County (510) 869-6511
MR. AAKASH RAGHUBANSH PA-C
Physician Assistant
450 30TH ST
OAKLAND, CA 94609
Alameda County (510) 869-9200

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 Eddie Alvarado's NPI number?

The NPI number for Eddie Alvarado is 1578327086. It was assigned to this individual provider in the NPPES registry on February 6, 2024.

Where is Eddie Alvarado located?

Eddie Alvarado practices at 450 30th St, Oakland, CA 94609. The listed phone number is (510) 869-9200.

What is Eddie Alvarado's specialty?

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

Is Eddie Alvarado enrolled in Medicare?

Yes. Eddie Alvarado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eddie Alvarado was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.