Active NPI
Omar Alejandro Arellano
- Day Training/Habilitation Specialist
- Manteca, CA
National Provider Identifier
1407349848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 302 Cherry LN Ste 208
Manteca, CA 95337-4311 - Phone
- (209) 647-6200
- Fax
- (209) 647-6210
- NPI assigned
- Jun 11, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
302 Cherry LN Ste 208
Manteca, CA 95337-4311
Mailing address
302 Cherry LN Ste 208
Manteca, CA 95337-4311
Phone (209) 647-6200
Other practice location 1
9343 Tech Center Dr
Sacramento, CA 95826-2563
Phone (916) 779-2437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1407349848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 CHERRY LN STE 208",
"city": "MANTECA",
"state": "CA",
"postal_code": "953374311",
"telephone_number": "209-647-6200",
"fax_number": "209-647-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 CHERRY LN STE 208",
"city": "MANTECA",
"state": "CA",
"postal_code": "953374311",
"telephone_number": "209-647-6200",
"fax_number": "209-647-6210"
}
],
"practiceLocations": [
{
"address_1": "9343 Tech Center Dr",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958262563",
"country_code": "US",
"telephone_number": "916-779-2437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARELLANO",
"first_name": "OMAR",
"middle_name": "ALEJANDRO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-11",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.