MR. ALFREDO ALCALAESPARZA


Address: 2211 Pacific Beach Dr, San Diego, CA 92109-5626
Phone: 6192063925

MR. ALFREDO ALCALAESPARZA (NPI# 1730157736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730157736
Entity Type Individual
Full Name MR. ALFREDO ALCALAESPARZA
Credential IDC
Practice Address 2211 Pacific Beach Dr
San Diego
CA 92109-5626
Practice Telephone 6192063925
Mailing Telephone 6192063925
Enumeration Date 2006-03-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Office Location

Street Address 2211 PACIFIC BEACH DR
City SAN DIEGO
State CA
Zip Code 92109-5626

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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093124398 Benjamin Ryan Foy Military Health Care Provider 2784 Hornet Way, San Diego, CA 92106-6421 2014-08-12
1346552064 Jeffrey Thomas Gilbert Military Health Care Provider 3841 Colina Dorado Dr, Apartment G108, San Diego, CA 92124 2010-07-10
1467674150 John Dudley Harris Jr. Military Health Care Provider 33000 Nixie Way Bldg 50, San Diego, CA 92147-5101 2007-05-03
1447606322 Jeffrey Tyler Whitson Military Health Care Provider 34101 Farenholt Ave, Building 14, San Diego, CA 92134-7000 2016-05-10
1497927404 Keren Mireya Lemas Military Health Care Provider 2450 Craven St, San Diego, CA 92136-5599 2008-03-31
1689873192 Keith Robert Davis Military Health Care Provider 140 Sylvester Rd, Uss Topeka (ssn 754) Fpo Ap 96679-2410, San Diego, CA 92106-3521 2007-07-13
1740481571 Cindy S Cruzan Military Health Care Provider 34101 Farenholt Ave, San Diego, CA 92134-7000 2007-05-30
1932169380 Shirley Hovlid Military Health Care Provider 2650 Stockton Rd, San Diego, CA 92106-6000 2006-03-27
1851368229 Carlos M. Coleman Military Health Care Provider 34101 Farenholt Ave, Nshs-sd Idc Dept, San Diego, CA 92134-7000 2006-03-03
1023085883 Anthony Petrone Jr. Military Health Care Provider 140 Sylvester Rd, San Diego, CA 92106-3521 2006-03-01
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Competitor

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City SAN DIEGO
Zip Code 92109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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