Provider Demographics
NPI:1891805610
Name:ALVAREZ, CARLOS A (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:A
Last Name:ALVAREZ
Suffix:
Gender:M
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:PO BOX 640
Mailing Address - Street 2:
Mailing Address - City:SHAFTER
Mailing Address - State:CA
Mailing Address - Zip Code:93263-0640
Mailing Address - Country:US
Mailing Address - Phone:661-489-5999
Mailing Address - Fax:661-489-5991
Practice Address - Street 1:6001-B TRUXTUN AVE #220
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-9330
Practice Address - Country:US
Practice Address - Phone:661-489-9999
Practice Address - Fax:661-489-5991
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA429860207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00072073OtherMEDICARE RAILROAD
CA00A429860Medicaid
CAP00072073OtherMEDICARE RAILROAD
CA00A429863Medicare PIN
CA00A429864Medicare PIN