Office of Leopoldo Arcilla , Jr.,MD.,PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

M-1565 Issued in GU

Legal business name

OFFICE OF LEOPOLDO ARCILLA , JR.,MD.,PC

Practice address

1757 Army Dr Ste 108
Tamuning, GU 96913-1260

Phone

(671) 647-4533

Fax

(671) 647-1110

NPI assigned

Apr 27, 2015

Last updated

Apr 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leopoldo Clava Arcilla Jr., MDNPI 1144364753

Title

President/Physician

Phone

(671) 483-6766

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GU

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leopoldo Clava Arcilla Jr., MD

  • Internal Medicine Physician
  • Mangilao, GU
  • NPI 1144364753
  Medicare reassignment NPD Authorized official
• Peter KH Go, M.D.

  • Surgery Physician
  • Tamuning, GU
  • NPI 1932202298
  NPD (past)
• Romeo M Samonte, M.D.

  • Internal Medicine Physician
  • Tamuning, GU
  • NPI 1073674685
  NPD (past)

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1487031613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 ARMY DR STE 108",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969131260",
            "telephone_number": "671-647-4533",
            "fax_number": "671-647-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 ARMY DR STE 108",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969131260",
            "telephone_number": "671-647-4533",
            "fax_number": "671-647-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE OF LEOPOLDO ARCILLA , JR.,MD.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "ARCILLA",
        "authorized_official_first_name": "LEOPOLDO",
        "authorized_official_middle_name": "CLAVA",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "671-483-6766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GU",
            "license": "M-1565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Placido Nicdao II, D.C.
• Janet E Nightingale, C.N.P
• Marvin Nogoy, APRN
• Annah E. Noland, RN, CDE
• James Kenji Nozaki, M.D.
• Offices of Dr. Barbara Onedera-Gregory & Dr. Robert W. Gregory, P.C. (Pacific Life Chiropractic)
• William Y Oh, M.D.
• Ohimaa LLC (Ohimaa Medical)
• Ohimaa, LLC (Ohimaa Medical, Guam Laser Clinic)
• Akio Oiso, M.D.

• Primary Care Clinic/Center in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Primary Care Clinic/Center in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.