Individual provider Active NPI

Rodolfo Antonio Arevalo, M.D.

  • Family Medicine Physician
  • Montebello, CA
National Provider Identifier
1487692372
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A63506 Issued in CA
Practice address
1217 W Whittier Blvd
Montebello, CA 90640-4642
Phone
(323) 728-6070
Fax
(323) 728-2912
NPI assigned
Jun 3, 2006
Last updated
Oct 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A63506 CA Primary

Addresses

Primary practice location

1217 W Whittier Blvd
Montebello, CA 90640-4642

Mailing address

1217 W Whittier Blvd.
Montebello, CA 90640-4300
Phone (323) 728-6070

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
I20040309001256 CA Practitioner - Family Practice 1254229321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1217 W Whittier Blvd
Montebello, CA 90640-4642
Phone (323) 728-6070

1701 Cesar Chavez Ave
Suite 354
Los Angeles, CA 90033-2496
Phone (323) 728-6070

50 Bellefontaine St
Pasadena, CA 91105-3132
Phone (323) 728-6070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63506CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindhealth Wellness Inc. CurrentSince Jan 20, 2026 Accepting new patients
White Memorial Medical Center Past Accepting new patients
Arevalo Family Medical Group Incorporated Family Medicine PastSince May 21, 2001 Accepting new patients
Modern Concepts Medical Group, Inc Family Medicine PastSince Oct 28, 2014 Accepting new patients

Locations

1217 W Whittier Blvd
Montebello, CA 90640
Phone (323) 728-6070

1217 W Whittier Blvd
Ste F
Montebello, CA 90640

12110 Slauson Ave
Ste 16
Santa Fe Springs, CA 90670
Phone (323) 524-9347

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rodolfo.arevalo.p16@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1487692372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 W WHITTIER BLVD.",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404300",
            "telephone_number": "323-728-6070",
            "fax_number": "323-728-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404642",
            "telephone_number": "323-728-6070",
            "fax_number": "323-728-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "RODOLFO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.