Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record Methodology

Covered recipient · General Payments record

ALVIN ALFONSO

Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered

NPI
1952653404
CMS profile
10609561
Location
SAN DIEGO, CA

General Payments · PY2025

$261.41

  • Reported across 16 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$261.41

16 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $261.41 16

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Stryker Corporation $261.41 16

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2025 $261.41 16

Payment records · PY2025 (16)

Ordering applied by this site (paying entity, then date) · record values are shown as CMS published them

Program year 2025
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Stryker Corporation $10.83 07/30/2025 Food and Beverage Undisputed 06/30/2026 1228048132 CMS
Stryker Corporation $7.24 08/04/2025 Food and Beverage Undisputed 06/30/2026 1228048138 CMS
Stryker Corporation $7.82 08/08/2025 Food and Beverage Undisputed 06/30/2026 1228048144 CMS
Stryker Corporation $6.68 08/14/2025 Food and Beverage Undisputed 06/30/2026 1228048150 CMS
Stryker Corporation $20.91 09/19/2025 Food and Beverage Undisputed 06/30/2026 1228048157 CMS
Stryker Corporation $6.07 10/02/2025 Food and Beverage Undisputed 06/30/2026 1228048163 CMS
Stryker Corporation $5.09 10/13/2025 Food and Beverage Undisputed 06/30/2026 1228048170 CMS
Stryker Corporation $8.37 10/15/2025 Food and Beverage Undisputed 06/30/2026 1228048176 CMS
Stryker Corporation $8.03 10/20/2025 Food and Beverage Undisputed 06/30/2026 1228048182 CMS
Stryker Corporation $5.75 11/01/2025 Food and Beverage Undisputed 06/30/2026 1228048188 CMS
Stryker Corporation $51.74 11/04/2025 Food and Beverage Undisputed 06/30/2026 1228048195 CMS
Stryker Corporation $11.45 11/18/2025 Food and Beverage Undisputed 06/30/2026 1228048202 CMS
Stryker Corporation $42.33 11/19/2025 Food and Beverage Undisputed 06/30/2026 1228048208 CMS
Stryker Corporation $16.77 12/07/2025 Food and Beverage Undisputed 06/30/2026 1228048214 CMS
Stryker Corporation $9.47 12/08/2025 Food and Beverage Undisputed 06/30/2026 1228048220 CMS
Stryker Corporation $42.86 12/18/2025 Food and Beverage Undisputed 06/30/2026 1228048227 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2025
Source files
Dataset page · Bulk file · PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.