MEDICARE: ANNIKA ALVAREZ FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95019539	CA
2	363L00000X	Nurse Practitioner	95019539	CA

General Provider Information

NPI Number	:	1578215398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIKA ALVAREZ FNP

Provider Business Mailing Address
First Line	:	474 W VERMONT AVE STE 104
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-6584
Country	:	US
Telephone Number	:	760-432-9884
Fax Number	:	760-888-2136

Provider Business Practice Location Address
First Line	:	1323 RAINBOW VALLEY BLVD
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-9774
Country	:	US
Telephone Number	:	760-696-5076
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2022
Last Update Date	:	04/20/2026

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