Healthcare Provider Details

I. General information

NPI: 1255175410
Provider Name (Legal Business Name): CHELSEA NICOLE ALVAREZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2024
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 LOMBARD ST # A
OXNARD CA
93030-8266
US

IV. Provider business mailing address

98 MISSION DR
CAMARILLO CA
93010-2020
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-9111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11031436
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95029376
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: