NPIMap

Individual provider Active NPI

Andres Alberto Arellano, M.D.

  • Internal Medicine Physician
  • Oakdale, CA
National Provider Identifier
1306917430
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A51229 Issued in CA
Practice address
1425 W H St
Suite 380
Oakdale, CA 95361-3588
Phone
(209) 847-1596
Fax
(209) 847-4595
NPI assigned
Nov 12, 2006
Last updated
Dec 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A51229 CA Primary

Addresses

Primary practice location

1425 W H St
Suite 380
Oakdale, CA 95361-3588

Mailing address

1425 W H St
Suite 380
Oakdale, CA 95361-3592
Phone (209) 847-1596

Other identifiers 1

IdentifierTypeStateIssuer
00A512290MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000566 CA Practitioner - Internal Medicine 5890774491 Practice locations: Oakdale, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1425 W H St
Suite 380
Oakdale, CA 95361-3592
Phone (209) 847-1596

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A51229CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Valley Hospital District Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aarellano17991@hisp.ehr.sutterhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1306917430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W H ST",
            "address_2": "SUITE 380",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613592",
            "telephone_number": "209-847-1596",
            "fax_number": "209-847-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W H ST",
            "address_2": "SUITE 380",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613588",
            "telephone_number": "209-847-1596",
            "fax_number": "209-847-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARELLANO",
        "first_name": "ANDRES",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A512290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

Verify at the official NPI Registry.