Healthcare Provider Details

I. General information

NPI: 1023085560
Provider Name (Legal Business Name): WENDY M ALVA CPNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4921 DEHESA RD
EL CAJON CA
92019-2929
US

IV. Provider business mailing address

8881 FLETCHER PKWY STE 360
LA MESA CA
91942-6103
US

V. Phone/Fax

Practice location:
  • Phone: 619-445-0707
  • Fax: 619-445-0901
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11604
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number11604
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: