Provider Demographics
NPI:1770356362
Name:ALVIZ, JOHN EPHRAIM CAPARAS (MAOT, OTR/L)
Entity type:Individual
Prefix:MR
First Name:JOHN EPHRAIM
Middle Name:CAPARAS
Last Name:ALVIZ
Suffix:
Gender:M
Credentials:MAOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 STEPHEN CT
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-3988
Mailing Address - Country:US
Mailing Address - Phone:707-771-1421
Mailing Address - Fax:
Practice Address - Street 1:2765 MITCHELL DR
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-1601
Practice Address - Country:US
Practice Address - Phone:925-448-3782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25676225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist