Individual provider Active NPI

Arnaldo Francisco Zelaya, PA-C

  • Physician Assistant
  • Fort Carson, CO
National Provider Identifier
1205909124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
BLDG #1041 Barkley Ave
Diraimando Medical Clinic
Fort Carson, CO 80913
Phone
(719) 524-2047
Fax
(719) 524-3526
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

BLDG #1041 Barkley Ave
Diraimando Medical Clinic
Fort Carson, CO 80913

Mailing address

7252 Kwajalein Dr Apt a
Fort Carson, CO 80913-3234
Phone (719) 559-7510

Other identifiers 1

IdentifierTypeStateIssuer
1054336OtherNCCPA CERTIFICATION #

Other names 1

  • Mr. Arnaldo Francisco Zelayacastro Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205909124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7252 KWAJALEIN DR APT A",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809133234",
            "telephone_number": "719-559-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG #1041 BARKLEY AVE",
            "address_2": "DIRAIMANDO MEDICAL CLINIC",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-524-2047",
            "fax_number": "719-524-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELAYA",
        "first_name": "ARNALDO",
        "middle_name": "FRANCISCO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATION #",
            "identifier": "1054336",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARNALDO",
            "last_name": "ZELAYACASTRO",
            "middle_name": "FRANCISCO",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.