NPIMap

Individual provider Active NPI

Massimo Arcerito, MD

  • Surgery Physician
  • Corona, CA
National Provider Identifier
1023200409
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A111450 Issued in CA
Practice address
21634 Retreat Pkwy
Corona, CA 92883-6100
Phone
(951) 278-8870
Fax
(951) 278-8913
NPI assigned
Aug 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301098091 MI
Surgery Physician 208600000X A111450 CA Primary

Addresses

Primary practice location

21634 Retreat Pkwy
Corona, CA 92883-6100

Mailing address

21634 Retreat Pkwy
Corona, CA 92883-6100
Phone (951) 278-8870

Other practice location 1

3660 Park Sierra Dr
Suite 105
Riverside, CA 92505-3081
Phone (951) 278-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130730000339 CA Practitioner - Surgical OncologyPractitioner - General Surgery 0941479414 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cal Med Physicians and Surgeons IncGroup PAC ID 4385556687, 34 clinicians

Practice addresses (Care Compare)

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-3353

Hospital & facility affiliations

  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301098091MIMDFamily Medicine Physician

Practice roles (10 of 11)

OrganizationSpecialtyStatusNew patients
Mission Surgical Clinic, Inc. Surgery CurrentSince Aug 1, 2013 Accepting new patients
Cal Med Physicians and Surgeons, Inc. Surgery CurrentSince Feb 1, 2026 Accepting new patients
Uhs Corona Inc Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
RMC Surgery Center, LLC Past Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Mission Surgical Center Inc Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

2250 S Main St
Ste 206
Corona, CA 92882
Phone (951) 278-8870

3660 Park Sierra Dr
Ste 105
Riverside, CA 92505
Phone (951) 278-8870

36423 Inland Vly Dr
Ste 280
Wildomar, CA 92595
Phone (951) 278-8870

36423 Inland Vly Dr
Ste 280
Wildomar, CA 92595

36243 Inland Valley Dr
Ste 280
Wildomar, CA 92595
Phone (951) 278-8870

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1023200409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21634 RETREAT PKWY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928836100",
            "telephone_number": "951-278-8870",
            "fax_number": "951-278-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21634 RETREAT PKWY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928836100",
            "telephone_number": "951-278-8870",
            "fax_number": "951-278-8913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3660 Park Sierra Dr",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925053081",
            "country_code": "US",
            "telephone_number": "951-278-8870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCERITO",
        "first_name": "MASSIMO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301098091",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A111450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.