Active NPI
Arnaldo Francisco Zelaya, PA-C
- Physician Assistant
- Fort Carson, CO
National Provider Identifier
1205909124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1054336 | Other | NCCPA CERTIFICATION # |
Other names 1
- Mr. Arnaldo Francisco Zelayacastro
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.