Healthcare Provider Details

I. General information

NPI: 1942147624
Provider Name (Legal Business Name): DARIAN ALYSSA ALFARO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 MALIA CT
ACTON CA
93510-2828
US

IV. Provider business mailing address

2340 MALIA CT
ACTON CA
93510-2828
US

V. Phone/Fax

Practice location:
  • Phone: 661-341-2511
  • Fax:
Mailing address:
  • Phone: 661-341-2511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95028003
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: