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NPI Code Detail

MEDICARE: MR. RONALD ALVARADO A.S.,CADC II/ICADC

MEDICARE: MR. RONALD ALVARADO A.S.,CADC II/ICADC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorA063000723CA
2171M00000XCase Manager/Care CoordinatorCA
3101Y00000XCounselorCA
4324500000XSubstance Abuse Rehabilitation Facility
5175T00000XPeer Specialist
6172V00000XCommunity Health Worker24-CCHW-00011CA
7251S00000XCommunity/Behavioral Health Agency24-CCHW-00011CA

General Provider Information

NPI Number : 1760230981
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RONALD ALVARADO A.S.,CADC II/ICADC
Provider Business Mailing Address
First Line : 7344 MAGNOLIA AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-3819
Country : US
Telephone Number : 310-496-9716
Fax Number :
Provider Business Practice Location Address
First Line : 7344 MAGNOLIA AVE STE 110
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-3819
Country : US
Telephone Number : 310-496-9716
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2024
Last Update Date : 11/23/2025

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