Healthcare Provider Details

I. General information

NPI: 1578277430
Provider Name (Legal Business Name): CARLOS ALVARADO JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CARLOS A. ALVARADO JR. CADC I

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3021 FRANKLIN AVE
RIVERSIDE CA
92507-3337
US

IV. Provider business mailing address

3021 FRANKLIN AVE
RIVERSIDE CA
92507-3337
US

V. Phone/Fax

Practice location:
  • Phone: 951-358-7877
  • Fax:
Mailing address:
  • Phone: 951-358-7877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberCI42210424
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberR1414231220
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: