Stefan Alvidrez, MS, ATC is a
Specialist/technologist - Athletic Trainer based in Fresno, California. Stefan Alvidrez is licensed to practice in California (license number ) and his current practice location is
958 E Divisadero St, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(253) 736-4391.
NPI number for Stefan Alvidrez is 1962939843 and his current mailing address is 958 E Divisadero St, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962939843.
Healthcare Provider's Profile
| Full Name | Stefan Alvidrez |
|---|
| Gender | Male |
|---|
| Speciality | Specialist/technologist - Athletic Trainer |
|---|
| Location | 958 E Divisadero St, Fresno, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962939843
- Provider Enumeration Date: 05/22/2017
- Last Update Date: 04/22/2026
Medical Identifiers
Medical identifiers for Stefan Alvidrez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962939843 | NPI | - | NPPES |
| 1733799 | Other | | ASSOCIATED BODYWORK AND MASSAGE PROFESSIONALS |
| 2000037733 | Other | | BOARD OF CERTIFICATION OF ATHLETIC TRAINERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | (California) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stefan Alvidrez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Stefan Alvidrez, MS, ATC 958 E Divisadero St, Fresno, CA 93721-1059 Ph: (253) 736-4391 | Stefan Alvidrez, MS, ATC 958 E Divisadero St, Fresno, CA 93721-1059 Ph: (253) 736-4391 |
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