Active NPI
Richard Anonas Arcelao, MD
- Family Medicine Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A160057
- Practice address
- 565 N Mount Vernon Ave
San Bernardino, CA 92411 - Phone
- (909) 884-9091
- Fax
- (909) 383-7013
- NPI assigned
- Jun 9, 2016
- Last updated
- Sep 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TRN23660 | FL | |
| Family Medicine Physician | 207Q00000X | A160057 | CA | Primary |
Addresses
Primary practice location
565 N Mount Vernon Ave
San Bernardino, CA 92411
Mailing address
1855 W Redlands Blvd FL 2
Redlands, CA 92373-3145
Phone (909) 890-0407
Other practice location 1
565 N Mount Vernon Ave
San Bernardino, CA 92411
Phone (909) 884-9091
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4371 Latham St
Riverside, CA 92501-1706
Phone (833) 867-4642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A160057 | CA | MD | Family Medicine Physician |
| TRN23660 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dap Health, Inc. | Family Medicine | Current | Accepting new patients |
| Neighborhood Healthcare | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | Accepting new patients |
Locations
425 N Date St
Escondido, CA 92025
Phone (760) 737-2035
425 N Date St
#0
Escondido, CA 92025
903 E Devonshire Ave
Ste D
Hemet, CA 92543
Phone (951) 216-6100
4371 Latham St
#200
Riverside, CA 92501
8856 Arlington Ave
Riverside, CA 92503
Phone (951) 353-2702
41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
dba Neighborhood Healthcare - Escondido
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1598703647
-
dba DAP Health-Borrego Springs Community Health Center
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
Family Medicine
-
dba Neighborhood Healthcare - Beaumont
- Federally Qualified Health Center (FQHC)
- Beaumont, CA
- NPI 1629601653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1386093359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 W REDLANDS BLVD FL 2",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923733145",
"telephone_number": "909-890-0407",
"fax_number": "909-890-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 N MOUNT VERNON AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92411",
"telephone_number": "909-884-9091",
"fax_number": "909-383-7013"
}
],
"practiceLocations": [
{
"address_1": "565 N Mount Vernon Ave",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "92411",
"country_code": "US",
"telephone_number": "909-884-9091",
"fax_number": "909-383-7013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARCELAO",
"first_name": "RICHARD",
"middle_name": "ANONAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "TRN23660",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A160057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.