Individual provider Active NPI

Elizabeth Arcila, M.D.

  • Colon & Rectal Surgery Physician
  • Irvine, CA
National Provider Identifier
1093056780
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
A124505 Issued in CA
Practice address
16305 Sand Canyon Ave Ste 260
Irvine, CA 92618
Phone
(949) 791-6767
NPI assigned
Mar 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X A124505 CA Primary
Surgery Physician 208600000X A124505 CA

Addresses

Primary practice location

16305 Sand Canyon Ave Ste 260
Irvine, CA 92618

Mailing address

510 Superior Ave Ste 200G
Newport Beach, CA 92663-3664
Phone (949) 791-6767

Other practice location 1

1200 N State St
Clinic Tower, 7th Floor A7D
Los Angeles, CA 90033-1029
Phone (713) 306-1394

Other practice location 2

510 Superior Ave Ste 200G
Newport Beach, CA 92663-3664
Phone (949) 791-6767

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
I20160808000857 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General SurgeryPractitioner - Internal Medicine 6800180266 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A124505CAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport-Irvine Surgical Specialists, a Professional Corporation Surgery CurrentSince Oct 1, 2018 Accepting new patients

Locations

16305 Sand Canyon Ave
Ste 260
Irvine, CA 92618
Phone (949) 360-0300

510 Superior Ave
Ste 200G
Newport Beach, CA 92663
Phone (949) 584-1897

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1093056780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SUPERIOR AVE STE 200G",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633664",
            "telephone_number": "949-791-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16305 SAND CANYON AVE STE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-791-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N State St",
            "address_2": "Clinic Tower, 7th Floor A7D",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331029",
            "country_code": "US",
            "telephone_number": "713-306-1394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Superior Ave Ste 200G",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633664",
            "country_code": "US",
            "telephone_number": "949-791-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCILA",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A124505",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A124505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.