Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edmund Robert Alvarado Jr., PA

Individual provider Physician Assistant · NPI 1720303340

Edmund Robert Alvarado Jr., PA is a Physician Assistant in San Diego, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1809 National Ave
San Diego, CA 92113-2113
Phone: (619) 515-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 823 Gateway Center Way, San Diego, CA 92102-4541 — (619) 515-2300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 20888 (CA)

Record details

NPI number1720303340
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 7, 2010
Last updated in NPPESMarch 17, 2018

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