Individual provider Active NPI

Dustin Arnold

  • Clinical Psychologist
  • Chino, CA
National Provider Identifier
1366921900
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30264 Issued in CA
Practice address
13193 Central Ave Ste 200
Chino, CA 91710-4179
Phone
(909) 902-9111
NPI assigned
Aug 13, 2018
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 30264 CA Primary

Addresses

Primary practice location

13193 Central Ave Ste 200
Chino, CA 91710-4179

Mailing address

13193 Central Ave Ste 200
Chino, CA 91710-4179
Phone (909) 902-9111

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181019002315 CA Practitioner - Clinical Psychologist 1153674239 Reassigns benefits to 3 organizations
Practice locations: Fullerton, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

265 S Randolph Ave
Suite 120
Brea, CA 92821-5798
Phone (909) 491-4289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30264CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alinea Psychology Inc Multi-Specialty Current Accepting new patients
Snorkl Psychological Health, Inc Multi-Specialty CurrentSince Nov 10, 2021 Accepting new patients
Theracare Wellness Inc Multi-Specialty CurrentSince Nov 1, 2019 Accepting new patients
Alinea Behavioral Health Clinical PastSince Aug 1, 2019 Accepting new patients

Locations

265 S Randolph Ave
Ste 120
Brea, CA 92821
Phone (657) 246-3075

2651 E Chapman Ave
Ste 205
Fullerton, CA 92831
Phone (562) 448-5907

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1366921900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE STE 200",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104179",
            "telephone_number": "909-902-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE STE 200",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104179",
            "telephone_number": "909-902-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "DUSTIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.