Active NPI
Diane Marie R Arcangel
- School Counselor
- Stockton, CA
National Provider Identifier
1235968520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 240030204
- Practice address
- 2515 Estate Dr
Stockton, CA 95209-1185 - Phone
- (209) 953-8285
- NPI assigned
- Jul 26, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 240030204 | CA | Primary |
Addresses
Primary practice location
2515 Estate Dr
Stockton, CA 95209-1185
Mailing address
999 Porter Ave Apt 30
Stockton, CA 95207-4279
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 |
|---|---|---|---|
| 240030204 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722124800000",
"number": "1235968520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 PORTER AVE APT 30",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952074279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 ESTATE DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952091185",
"telephone_number": "209-953-8285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCANGEL",
"first_name": "DIANE MARIE",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-28",
"certification_date": "2024-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "240030204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.