Individual provider Active NPI

Israel J Hernandez-Arce, MD

  • Internal Medicine Physician
  • Carson, CA
National Provider Identifier
1063690659
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A102534 Issued in CA
Practice address
21501 Avalon Blvd Ste 100
Carson, CA 90745-2210
Phone
(310) 835-6627
Fax
(310) 835-9830
NPI assigned
Feb 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A102534 CA Primary

Addresses

Primary practice location

21501 Avalon Blvd Ste 100
Carson, CA 90745-2210

Mailing address

21501 Avalon Blvd Ste 100
Carson, CA 90745-2210
Phone (310) 835-6627

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091019000597 CA Practitioner - Internal Medicine 0840337150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Diego School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

1300 W 7TH St
San Pedro, CA 90732-3505
Phone (310) 303-7496

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102534CAMDMarriage & Family Therapist
A102534CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Internal Medicine CurrentSince Aug 1, 2010 Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Aug 1, 2010 Accepting new patients
Providence Medical Institute Internal Medicine Current Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

1499 W 1st St
San Pedro, CA 90732
Phone (310) 241-2590

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1063690659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21501 AVALON BLVD STE 100",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452210",
            "telephone_number": "310-835-6627",
            "fax_number": "310-835-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21501 AVALON BLVD STE 100",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452210",
            "telephone_number": "310-835-6627",
            "fax_number": "310-835-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-ARCE",
        "first_name": "ISRAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A102534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

Verify at the official NPI Registry.