ALICE CORPUZ FAMADOR AGNP
NPI 1750199543
Nurse Practitioner - Gerontology in El Cajon, CA

Active since December 25, 2024PECOS EnrolledAccepts Medicare Assignment
1320 E MADISON AVE, EL CAJON, CA 92021(619) 456-9800 Get Directions Write a Review

NPPES record last updated: December 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alice Corpuz Famador Agnp NPPES

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

ALICE CORPUZ FAMADOR AGNP (NPI 1750199543) is an individual gerontology provider in El Cajon, California, licensed in California (AG12240042) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750199543
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameALICE CORPUZ FAMADORCredential: AGNP
Location Address1320 E MADISON AVEEl Cajon, CA 92021-8531
Mailing Address2417 Paseo Los GatosChula Vista, CA 91914-4431 · (619) 395-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 25, 2024
NPPES CertifiedDecember 25, 2024
✔ NPI 1750199543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · AG12240042
1320 E MADISON AVE, El Cajon, CA 92021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alice Corpuz Famador Agnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012481955
PECOS Enrollment IDI20260701004075
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alice Famador reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
553 F ST
Chula Vista, CA 91910
  • Reassigned Medicare billing, California enrollment
  • 14 clinicians in this Medicare group
Surgery
27141 ALISO CREEK RD STE 235
Aliso Viejo, CA 92656
  • Reassigned Medicare billing, California enrollment
  • 23 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Family Medicine
1320 E MADISON AVE
EL CAJON, CA 92021
Nurse Practitioner (Family)
1320 E MADISON AVE
EL CAJON, CA 92021
Nurse Practitioner (Family)
1320 E MADISON AVE
EL CAJON, CA 92021
Nurse Practitioner (Family)
1320 E MADISON AVE
EL CAJON, CA 92021
Nurse Practitioner (Psychiatric/Mental Health)
1320 E MADISON AVE
EL CAJON, CA 92021

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 Alice Famador's NPI number?

The NPI number for Alice Famador is 1750199543. It was assigned to this individual provider in the NPPES registry on December 25, 2024.

Where is Alice Famador located?

Alice Famador practices at 1320 E Madison Ave, El Cajon, CA 92021. The listed phone number is (619) 456-9800.

What is Alice Famador's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Alice Famador enrolled in Medicare?

Yes. Alice Famador is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alice Famador's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Famador reassigns Medicare benefits to 2 organizations: Henry A. Richardson, MD A Medical Corporation (Chula Vista, CA) and Wound Docs Apc (Aliso Viejo, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alice Famador's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alice Famador was last updated on December 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.