Healthcare Provider Details

I. General information

NPI: 1316391113
Provider Name (Legal Business Name): PINNACLE FAMILY PRACTICE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 04/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2524 H DELA ROSA SR ST
SOLEDAD CA
93960-3383
US

IV. Provider business mailing address

4 ROSSI CIR SUITE 101
SALINAS CA
93907-2362
US

V. Phone/Fax

Practice location:
  • Phone: 831-678-8899
  • Fax: 831-678-4545
Mailing address:
  • Phone: 831-757-4444
  • Fax: 831-757-4419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ERNESTO M. ALVERO
Title or Position: C.E.O.
Credential: P.A.
Phone: 831-757-4444