Active NPI
Eleuterio Arcangel Go, M.D.
- Specialist
- Modesto, CA
National Provider Identifier
1447219662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A68296
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6213236 | Medicaid | CA | |
| ZZZ01404Z | Other | CA | MEDICARE GROUP ID |
| 00A682962 | Other | CA | MEDICARE 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eag Professional Medical Corp. | Psychiatry | Current | 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.
-
- Psychiatry Physician
- Ceres, CA
- NPI 1841483427
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1619141066
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.