=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225948920
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MAYRA ALEJANDRA ALVAREZ
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/08/2026
-----------------------------------------------------
Last Update Date | 09/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1837 HOWARD RD
-----------------------------------------------------
City | MADERA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93637-5122
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-416-5800
-----------------------------------------------------
Fax | 559-661-0012
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 28548 AVENUE 17
-----------------------------------------------------
City | MADERA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93638-1036
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-474-7574
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171400000X
-----------------------------------------------------
Taxonomy Name | Health & Wellness Coach
-----------------------------------------------------
License Number | E6A208196A
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------