Individual provider Active NPI

Arpal Wybourn, NP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1215759188
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031979 Issued in CA
Practice address
3327 Rosecrans St
San Diego, CA 92110-4223
Phone
(619) 225-9691
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031979 CA Primary

Addresses

Primary practice location

3327 Rosecrans St
San Diego, CA 92110-4223

Mailing address

3337 Rosecrans St
San Diego, CA 92110-4223
Phone (619) 225-9691

Other names 1

  • Arpal Patel Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428001001 CA Practitioner - Nurse Practitioner 8628594223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12396 World Trade Dr
Suite 303
San Diego, CA 92128-3792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95031979CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Mar 1, 2025 Accepting new patients
Abc Trauma, Inc. CurrentSince Apr 24, 2025 Accepting new patients
Idahosurgeons Net PC CurrentSince Apr 24, 2025 Accepting new patients

Locations

7930 Frost St
Ste 204
San Diego, CA 92123
Phone (858) 565-0104

12396 World Trade Dr
Ste 303
San Diego, CA 92128
Phone (904) 614-5857

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

7910 Frost St
Ste 250
San Diego, CA 92123
Phone (858) 565-0104

Organizations & group practices 3

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": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1215759188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 ROSECRANS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104223",
            "telephone_number": "619-225-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 ROSECRANS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104223",
            "telephone_number": "619-225-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYBOURN",
        "first_name": "ARPAL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARPAL",
            "last_name": "PATEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.