Active NPI
James Paul Arellano, MSOM
- Acupuncturist
- Portland, OR
National Provider Identifier
1134827892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC213899
- Practice address
- 1540 SE Clinton St
Portland, OR 97202-1130 - Phone
- (503) 914-2717
- NPI assigned
- Feb 21, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC213899 | OR | Primary |
Addresses
Primary practice location
1540 SE Clinton St
Portland, OR 97202-1130
Mailing address
3945 SE 33Rd PL
Portland, OR 97202-3440
Phone (503) 758-5407
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC213899 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malachite Medicine LLC | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- Portland, OR
- NPI 1417571480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1134827892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 SE 33RD PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972023440",
"telephone_number": "503-758-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 SE CLINTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021130",
"telephone_number": "503-914-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARELLANO",
"first_name": "JAMES",
"middle_name": "PAUL",
"credential": "MSOM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-21",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC213899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.