NPIMap

Individual provider Active NPI

Archie Palis Bella, M.D.

  • Internal Medicine Physician
  • National City, CA
National Provider Identifier
1487098497
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A134155 Issued in CA
Practice address
1428 Highland Ave
National City, CA 91950-4624
Phone
(844) 200-2426
Fax
(619) 356-2726
NPI assigned
Apr 20, 2013
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A134155 CA Primary

Addresses

Primary practice location

1428 Highland Ave
National City, CA 91950-4624

Mailing address

1428 Highland Ave
National City, CA 91950-4624
Phone (844) 200-2426

Other practice location 1

1555 S Palm Canyon Dr Bldg C
Palm Springs, CA 92264-8354
Phone (760) 969-7770

Other practice location 2

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 969-7770

Other identifiers 1

IdentifierTypeStateIssuer
A134155OtherCACA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abella93559@edirect.emc.org Eisenhower Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201002622 CA Practitioner - Internal Medicine 9335468131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A134155CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center Past Accepting new patients
Operation Samahan Inc PastSince Jul 22, 2025 Accepting new patients
Operation Samahan, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: abella93559@edirect.emc.org
  • Direct secure messaging: archie.bella@opsam.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Operation Samahan OutreachSan Diego, CA, CCN 051061 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Nov 21, 2021
Nov 21, 2021
Operation Samahan IncSan Diego, CA, CCN A01932 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee
Operational/Managerial Control		 Jan 1, 2021
Jan 1, 2021
Jan 1, 2021
Operation Samahan IncSan Diego, CA, CCN A11035 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Nov 21, 2021
Nov 21, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Operation Samahan Inc

    dba Opsam Health

    • Federally Qualified Health Center (FQHC)
    • San Diego, CA
    • NPI 1376358549

    Corporate Officer, W-2 Managing Employee

    CMS ownership
  • Operation Samahan Inc

    dba Erma Rd Community Health Center

    • Federally Qualified Health Center (FQHC)
    • San Diego, CA
    • NPI 1861933897

    Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership
  • Operation Samahan, Inc.

    dba Samahan Health Centers

    • Federally Qualified Health Center (FQHC)
    • San Diego, CA
    • NPI 1871680397

    Corporate Officer, W-2 Managing Employee

    CMS ownership

Organizations & group practices 9

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": "1366416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1487098497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 HIGHLAND AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919504624",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 HIGHLAND AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919504624",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 S Palm Canyon Dr Bldg C",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922648354",
            "country_code": "US",
            "telephone_number": "760-969-7770",
            "fax_number": "760-969-7771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-969-7770",
            "fax_number": "760-969-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLA",
        "first_name": "ARCHIE",
        "middle_name": "PALIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-20",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A134155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A134155",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abella93559@edirect.emc.org",
            "affiliation": "Y",
            "affiliationName": "Eisenhower Medical Center",
            "address_1": "1555 S Palm Canyon Dr Bldg C",
            "city": "Palm Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922648354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.