Active NPI
Arlyn Marrero-Nasirov, MD
- Pediatrics Physician
- Sacramento, CA
National Provider Identifier
1518167667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A89538
- Practice address
- 2425 Alhambra Blvd
Sacramento, CA 95817-1955 - Phone
- (916) 737-5555
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | A89538 | CA | |
| Pediatrics Physician | 208000000X | A89538 | CA | Primary |
Addresses
Primary practice location
2425 Alhambra Blvd
Sacramento, CA 95817-1955
Mailing address
393 E Walnut St
3Rd Floor - PHR Systems
Pasadena, CA 91188-0001
Phone (626) 405-7914
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A89538 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health Professional Health Center for Women | Current | Accepting new patients |
Locations
1820 J St
Sacramento, CA 95811
Phone (916) 550-5481
777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690
2425 Alhambra Blvd
Sacramento, CA 95817
Phone (916) 313-8400
Interoperability endpoints
- marrero-nasirov.arlyn.001.0050228@wpma.meditab.direct-ci.com
- amarreronasirov769550@direct.ochin.org
- marrero-nasirov.arlyn.002.0050228@wpma.meditab.direct-ci.com
- arlyn.marreronasirov.p1@direct.wellspacehealth.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1124112933
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1114682689
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1841713732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1518167667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 E WALNUT ST",
"address_2": "3RD FLOOR - PHR SYSTEMS",
"city": "PASADENA",
"state": "CA",
"postal_code": "911880001",
"telephone_number": "626-405-7914",
"fax_number": "626-405-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 ALHAMBRA BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171955",
"telephone_number": "916-737-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO-NASIROV",
"first_name": "ARLYN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2023-08-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "A89538",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A89538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.