Active NPI
Gerard C. Arcilla MD, Inc.
- Physical Medicine & Rehabilitation Physician
- National City, CA
National Provider Identifier
1285971028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A48300
- Legal business name
- GERARD C. ARCILLA MD, INC.
- Practice address
- 2400 E 4TH St
National City, CA 91950-2026 - Phone
- (619) 857-8831
- Fax
- (858) 842-1255
- NPI assigned
- Jan 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerard C Arcilla, MD
- Title
- Owner
- Phone
- (619) 857-8831
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A48300 | CA | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | A48300 | CA |
Addresses
Primary practice location
2400 E 4TH St
National City, CA 91950-2026
Mailing address
PO Box 786
Poway, CA 92074-0786
Phone (619) 857-8831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A483000 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
6645 Alvarado Rd
Ste 253
San Diego, CA 92120
Phone (619) 326-0128
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Santee, CA
- NPI 1629004890
-
- Physical Medicine & Rehabilitation Physician
- San Diego, CA
- NPI 1073618484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535500800000",
"number": "1285971028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 786",
"city": "POWAY",
"state": "CA",
"postal_code": "920740786",
"telephone_number": "619-857-8831",
"fax_number": "858-842-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 E 4TH ST",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502026",
"telephone_number": "619-857-8831",
"fax_number": "858-842-1255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERARD C. ARCILLA MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-14",
"last_updated": "2018-08-29",
"status": "A",
"authorized_official_last_name": "ARCILLA",
"authorized_official_first_name": "GERARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-857-8831",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A48300",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "A48300",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A483000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.