Active NPI
Arnoldo N Chacon
- Land Ambulance
- Del Rio, TX
National Provider Identifier
1033532155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 800145
- Practice address
- 3912 E Highway 90
Del Rio, TX 78840-8810 - Phone
- (830) 298-9796
- NPI assigned
- Jan 24, 2014
- Last updated
- Jan 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 800145 | TX | Primary |
Addresses
Primary practice location
3912 E Highway 90
Del Rio, TX 78840-8810
Mailing address
3912 E Highway 90
Del Rio, TX 78840-8810
Phone (830) 298-9796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182072201 | Medicaid | TX |
Other names 1
- Amistad Ambulance Transports, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060911000221 | TX | Part B Supplier - Ambulance Service Supplier | 9638173438 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: San Antonio, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800145 | TX | MD | Land Ambulance |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Land Ambulance
- Del Rio, TX
- NPI 1821030453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1033532155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3912 E HIGHWAY 90",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788408810",
"telephone_number": "830-298-9796",
"fax_number": "830-298-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3912 E HIGHWAY 90",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788408810",
"telephone_number": "830-298-9796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACON",
"first_name": "ARNOLDO",
"middle_name": "N",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-24",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "800145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182072201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMISTAD",
"last_name": "TRANSPORTS, LLC",
"middle_name": "AMBULANCE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Del Rio, TX
- Carecetera Home Care, Inc. (Care etc.)
- Bertha Salas Castillo, LVN
- Lisa Gaye Cawley-Romero, L.P.C. & L.M.F.T.
- Nuvia Cepeda, AU.D.
- Rolando Cepeda
- Teresa Cecilia Chaney, RDN, LD
- Irma Chapa, RPH
- Daniel Joseph Chartrand, M.D.
- Chartwell Community Services, Inc. (Jordan Health Services, a Part of the Elara Caring Network)
- City of del Rio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.