Healthcare Provider Details

I. General information

NPI: 1922938646
Provider Name (Legal Business Name): CATALINA TERESA ALVARADO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9340 E STOCKTON BLVD
ELK GROVE CA
95624-1563
US

IV. Provider business mailing address

6412 STONEMAN DR
NORTH HIGHLANDS CA
95660-4140
US

V. Phone/Fax

Practice location:
  • Phone: 916-333-3800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: