Provider Demographics
NPI:1205918497
Name:CACHO, ALVIN (MD)
Entity type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:
Last Name:CACHO
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 1:2800 N CALIFORNIA ST STE 1
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95204-3758
Mailing Address - Country:US
Mailing Address - Phone:209-942-1161
Mailing Address - Fax:209-942-0353
Practice Address - Street 1:2800 N CALIFORNIA ST STE 14
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95204-3759
Practice Address - Country:US
Practice Address - Phone:209-942-1161
Practice Address - Fax:209-942-0353
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00A321520207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA060026649OtherRAILROAD MEDICARE
CA00A321520Medicaid
CA060026649OtherRAILROAD MEDICARE
CA00A321520Medicaid