Angel Vidal Arafiles, MD

Individual provider Active NPI General Practice Physician · Parker, AZ

NPI 1023220142 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1023220142
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
C43233 (CA)
Practice address
12033 Agency Rd
Parker, AZ 85344-7718
Phone
(928) 669-2137
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C43233CAMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C43233 CA Yes

Addresses

Primary practice location

12033 Agency Rd
Parker, AZ 85344-7718

Mailing address

5398 La Sierra Ave
Riverside, CA 92505-2415
Phone (951) 509-3617

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023220142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 LA SIERRA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052415",
            "telephone_number": "951-509-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12033 AGENCY RD",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853447718",
            "telephone_number": "928-669-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAFILES",
        "first_name": "ANGEL",
        "middle_name": "VIDAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C43233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

All providers in Parker, AZ · General Practice Physician in Arizona

Sources for this page

Verify at the official NPI Registry.