Individual provider Active NPI

Eleuterio Arcangel Go, M.D.

  • Specialist
  • Modesto, CA
National Provider Identifier
1447219662
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A68296 Issued in CA
Practice address
809 Sylvan Ave
Ste. 500a
Modesto, CA 95350-1500
Phone
(209) 521-5150
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A68296 CA Primary
Child & Adolescent Psychiatry Physician 2084P0804X A68296 CA
Psychiatry Physician 2084P0800X A68296 CA

Addresses

Primary practice location

809 Sylvan Ave
Ste. 500a
Modesto, CA 95350-1500

Mailing address

7446 River Nine Dr
Modesto, CA 95356-9221
Phone (209) 985-4813

Other identifiers 3

IdentifierTypeStateIssuer
6213236MedicaidCA
ZZZ01404ZOtherCAMEDICARE GROUP ID
00A682962OtherCAMEDICARE PPIN

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
I20040301000512 CA Practitioner - Psychiatry 5698662104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

809 Sylvan Ave
500 A
Modesto, CA 95350-1500
Phone (209) 985-4813

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eag Professional Medical Corp. Psychiatry CurrentSince Jan 3, 2005 Accepting new patients
Merakey Childrens Services Past Accepting new patients
Merakey Bucks County Psychiatry Past Accepting new patients

Locations

1809 Central Ave
Ste C
Ceres, CA 95307
Phone (209) 537-4434

809 Sylvan Ave
#500A
Modesto, CA 95350
Phone (209) 985-4813

809 Sylvan Ave
Ste 500A
Modesto, CA 95350
Phone (209) 521-5150

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1447219662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7446 RIVER NINE DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569221",
            "telephone_number": "209-985-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SYLVAN AVE",
            "address_2": "STE. 500A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501500",
            "telephone_number": "209-521-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "ELEUTERIO",
        "middle_name": "ARCANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A68296",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A68296",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A68296",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6213236",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "ZZZ01404Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PPIN",
            "identifier": "00A682962",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.