Individual provider Active NPI

Tyrone Enrique Arce, MD

  • Internal Medicine Physician
  • Lake Elsinore, CA
National Provider Identifier
1205085800
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A056377 Issued in CA
Practice address
121 South Main Street
Lake Elsinore, CA 92530-4108
Phone
(951) 471-0266
Fax
(951) 471-2315
NPI assigned
Sep 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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 A056377 CA Primary

Addresses

Primary practice location

121 South Main Street
Lake Elsinore, CA 92530-4108

Mailing address

121 South Main Street
Lake Elsinore, CA 92530-4108
Phone (951) 471-0266

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
I20111201000146 CA Practitioner - Family PracticePractitioner - Internal Medicine 8123292216 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A056377CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tyrone Arce MD Inc. Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Duke Health Lake Norman Regional Medical Center, Inc. PastSince Feb 9, 2017 Accepting new patients

Locations

121 S Main St
Lake Elsinore, CA 92530
Phone (951) 471-0266

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1205085800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SOUTH MAIN STREET",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304108",
            "telephone_number": "951-471-0266",
            "fax_number": "951-471-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SOUTH MAIN STREET",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304108",
            "telephone_number": "951-471-0266",
            "fax_number": "951-471-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCE",
        "first_name": "TYRONE",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A056377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

Verify at the official NPI Registry.