Manuel Arroyo, M.D. – Family Medicine Physician

Key facts

NPI: 1508860412
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: G48417 (CA)
Practice address: 43839 15TH St W
Lancaster, CA 93534-4756
Phone: (661) 945-5984
Fax: (661) 951-3192
NPI assigned: Jun 8, 2005
Reactivated: Mar 29, 2006
Sex: Male
Sole proprietor: No

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.

High Desert Medical Group Multi-Specialty Clinic/Center · Lancaster, CA · NPI 1720196702

Medicare reassignment Care Compare group NPD CA · FAMILY MEDICINE
Antelope Valley Health Care District General Acute Care Hospital · Lancaster, CA · NPI 1366419517

NPD (past)
Kenneth V. Miselis, M.D. Inc. Specialist · Stockton, CA · NPI 1962413740

NPD (past)

Medicare Care Compare profile

Specialty: Family Practice
Education: University of California, Geffen School of Medicine, 1981
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: High Desert Medical Corporation (58 clinicians)

Practice addresses (Care Compare)

43839 15TH St W
Lancaster, CA 93534-4756
Phone (661) 945-5984

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20050829000708	CA	Practitioner - Family Practice	7618908716	Reassigns benefits to 1 organization Practice locations: Lancaster, CA

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
G48417	CA	MD	Family Medicine Physician

Practice roles (3 of 4)

Organization	Specialty	Status	New patients
High Desert Medical Group	Family Medicine	Current since Sep 6, 2017	Accepting new patients
Kenneth V. Miselis, M.D. Inc.		Past	Accepting new patients
Antelope Valley Health Care District		Past	Accepting new patients

Locations

43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984

Networks

BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Direct secure messaging: manuel.arroyo@direct.hdmg.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	G48417	CA	Yes

Addresses

Primary practice location

43839 15TH St W
Lancaster, CA 93534-4756

Mailing address

43839 15TH St West
Lancaster, CA 93534-4756
Phone (661) 951-3009

Other identifiers

Identifier	Type	State	Issuer
00G484170	Medicaid	CA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508860412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43839 15TH ST WEST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344756",
            "telephone_number": "661-951-3009",
            "fax_number": "661-951-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43839 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344756",
            "telephone_number": "661-945-5984",
            "fax_number": "661-951-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARROYO",
        "first_name": "MANUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2022-07-21",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G484170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

All providers in Lancaster, CA · Family Medicine Physician in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.