Provider Demographics
NPI:1437262193
Name:ALVAREZ, MARTA E (MD)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:E
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4166 TIFFANY LN
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-5112
Mailing Address - Country:US
Mailing Address - Phone:888-633-1441
Mailing Address - Fax:888-633-1441
Practice Address - Street 1:2175 ROSALINE AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2549
Practice Address - Country:US
Practice Address - Phone:530-245-4801
Practice Address - Fax:530-229-3703
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG80196207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G801960Medicaid
CAGQ167ZMedicare PIN
CA00G801960Medicaid
CA00G801962Medicare PIN