Organization Active NPI

Martin Arellano M.D., P.C.

  • Prevention Professional
  • Phoenix, AZ
National Provider Identifier
1548705536
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
License
21636 Issued in AZ
Legal business name
MARTIN ARELLANO M.D., P.C.
Practice address
2040 W Bethany Home Rd
Suite 108
Phoenix, AZ 85015-2473
Phone
(602) 274-6463
Fax
(602) 249-1282
NPI assigned
Dec 29, 2016
Last updated
Dec 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Dr. Martin Arellano, M.D.NPI 1396707725
Title
Sole Practitioner & Owner
Phone
(602) 274-6463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X 21636 AZ Primary

Addresses

Primary practice location

2040 W Bethany Home Rd
Suite 108
Phoenix, AZ 85015-2473

Mailing address

2040 W Bethany Home Rd
Suite 108
Phoenix, AZ 85015-2473
Phone (602) 274-6463

Other identifiers 1

IdentifierTypeStateIssuer
198839MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2040 W Bethany Home Rd
Ste 108
Phoenix, AZ 85015
Phone (602) 274-6463

521 W Thomas Rd
Fl 1
Phoenix, AZ 85013
Phone (602) 307-5775

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1548705536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W BETHANY HOME RD",
            "address_2": "SUITE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152473",
            "telephone_number": "602-274-6463",
            "fax_number": "602-249-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 W BETHANY HOME RD",
            "address_2": "SUITE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152473",
            "telephone_number": "602-274-6463",
            "fax_number": "602-249-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN ARELLANO M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "ARELLANO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "SOLE PRACTITIONER & OWNER",
        "authorized_official_telephone_number": "602-274-6463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "AZ",
            "license": "21636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198839",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.