Active NPI
Ileana Arvizu
- Student in an Organized Health Care Education/Training Program
- San Diego, CA
National Provider Identifier
1134434087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4080 Centre St
Suite 103
San Diego, CA 92103-2655 - Phone
- (619) 543-9850
- NPI assigned
- Aug 16, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4080 Centre St
Suite 103
San Diego, CA 92103-2655
Mailing address
4080 Centre St
Suite 103
San Diego, CA 92103-2655
Phone (619) 543-9850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| YMCA Youth and Family Services | Past | Accepting new patients | |
| YMCA of San Diego County | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- San Diego, CA
- NPI 1285949685
-
- Adult Mental Health Clinic/Center
- San Diego, CA
- NPI 1639449655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1134434087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 CENTRE ST",
"address_2": "SUITE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032655",
"telephone_number": "619-543-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 CENTRE ST",
"address_2": "SUITE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032655",
"telephone_number": "619-543-9850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARVIZU",
"first_name": "ILEANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-16",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.