Individual provider Active NPI

Richard Anonas Arcelao, MD

  • Family Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1386093359
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A160057 Issued in CA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191118000094 CA Practitioner - Family Practice 7810284767 Reassigns benefits to 1 organization

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
Neighborhood HealthcareGroup PAC ID 5294649406, 153 clinicians

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

LicenseStateTypeSpecialty
A160057CAMDFamily Medicine Physician
TRN23660FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health, Inc. Family Medicine Current Accepting new patients
Neighborhood Healthcare CurrentSince Sep 1, 2022 Accepting new patients
Neighborhood Healthcare CurrentSince Sep 1, 2022 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.

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

Verify at the official NPI Registry.