Karl John Bacomo Arellano, RN
Individual provider Active NPI Child & Adolescent Psychiatric/Mental Health Registered Nurse · Martinez, CA
NPI 1023907516 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1023907516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X
- License
- 95350239 (CA)
- Practice address
- 1340 Arnold Dr Ste 200
Martinez, CA 94553-4189 - Phone
- (510) 630-0312
- NPI assigned
- Jun 30, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95350239 | CA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95350239 | CA | |
| Adult Psychiatric/Mental Health Registered Nurse |
163WP0809X | 95350239 | CA | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 95350239 | CA | Yes |
| Registered Nurse | 163W00000X | 95350239 | CA |
Addresses
Primary practice location
1340 Arnold Dr Ste 200
Martinez, CA 94553-4189
Mailing address
1340 Arnold Dr Ste 200
Martinez, CA 94553-4189
Other practice location 1
1340 Arnold Dr Ste 200
Martinez, CA 94553-4189
Phone (510) 630-0312
Other providers in Martinez, CA
- Anne Scouten, Licensed Clinical Social Worker, a Professional Corporation
- May Antonio
- Adriane L Appel
- Christina M. Applegate
- Rebecca Arcos
- Elsie Alexandra Arias
- Luis Ricardo Armenta Gomez
- Ingrid Margot Armstrong
- Melodie A Armstrong
- Neary Arpajirakul
All providers in Martinez, CA · Child & Adolescent Psychiatric/Mental Health Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.