Provider Demographics
NPI:1700014909
Name:ALAVEKIOS, DAMON A (MD)
Entity type:Individual
Prefix:DR
First Name:DAMON
Middle Name:A
Last Name:ALAVEKIOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41889 FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-5042
Mailing Address - Country:US
Mailing Address - Phone:951-652-8700
Mailing Address - Fax:888-827-0236
Practice Address - Street 1:41889 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-5042
Practice Address - Country:US
Practice Address - Phone:951-652-8700
Practice Address - Fax:888-827-0236
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS0607207X00000X
MT39711207X00000X
WA60523493207X00000X
AZ70054207X00000X
CAA115287207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ143934Medicaid