Individual provider Active NPI

Colin B Arnold, M.D.

  • Ophthalmology Physician
  • Sacramento, CA
National Provider Identifier
1316949779
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G47416 Issued in CA
Practice address
7501 Hospital Dr
#105
Sacramento, CA 95823-5405
Phone
(916) 423-4040
Fax
(916) 689-2100
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G47416 CA Primary

Addresses

Primary practice location

7501 Hospital Dr
#105
Sacramento, CA 95823-5405

Mailing address

7501 Hospital Dr
#105
Sacramento, CA 95823-5405
Phone (916) 423-4040

Other identifiers 1

IdentifierTypeStateIssuer
G47416OtherCASTATE LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091211000195 CA Practitioner - Ophthalmology 4284774969

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47416CAMDPharmacist
G47416CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colin B Arnold MD Inc Ophthalmology CurrentSince May 1, 1982 Accepting new patients
Jedi Ventures, LLC Ophthalmology Past Accepting new patients

Locations

7501 Hospital Dr
Ste 105
Sacramento, CA 95823
Phone (916) 423-4040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1316949779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 HOSPITAL DR",
            "address_2": "#105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235405",
            "telephone_number": "916-423-4040",
            "fax_number": "916-689-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 HOSPITAL DR",
            "address_2": "#105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235405",
            "telephone_number": "916-423-4040",
            "fax_number": "916-689-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "COLIN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G47416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G47416",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.