Healthcare Provider Details

I. General information

NPI: 1083110290
Provider Name (Legal Business Name): ALEXANDER DANIEL SUAREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2018
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 LENNON LN
WALNUT CREEK CA
94598-2497
US

IV. Provider business mailing address

323 LENNON LN
WALNUT CREEK CA
94598-2497
US

V. Phone/Fax

Practice location:
  • Phone: 925-430-5335
  • Fax:
Mailing address:
  • Phone: 925-430-5335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberA201319
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: