Individual provider Active NPI

Araceli Gadea

  • Specialist
  • Ontario, CA
National Provider Identifier
1558981332
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L9618 Issued in CA
Practice address
1525 S Grove Ave Ste 2
Ontario, CA 91761-4587
Phone
(951) 215-6065
Fax
(909) 752-7205
NPI assigned
Apr 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L9618 CA Primary

Addresses

Primary practice location

1525 S Grove Ave Ste 2
Ontario, CA 91761-4587

Mailing address

2924 E Saint Andrews Dr
Ontario, CA 91761-7549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Electrolysis LLC Specialist CurrentSince Dec 4, 2024 Accepting new patients

Locations

11800 Central Ave
Ste 223
Chino, CA 91710
Phone (909) 941-4870

1525 S Grove Ave
Ste 11
Ontario, CA 91761

1525 S Grove Ave
Ste 2
Ontario, CA 91761
Phone (951) 215-6065

111 N Benson Ave
Ste A
Upland, CA 91786

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1558981332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 E SAINT ANDREWS DR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S GROVE AVE STE 2",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917614587",
            "telephone_number": "951-215-6065",
            "fax_number": "909-752-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADEA",
        "first_name": "ARACELI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; 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.