Individual provider Active NPI

Yvette Arenales, RNP

  • Family Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1578011037
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0716675 Issued in CA
Practice address
13050 Heacock St
Moreno Valley, CA 92553-3122
Phone
(951) 485-8490
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0716675 CA Primary

Addresses

Primary practice location

13050 Heacock St
Moreno Valley, CA 92553-3122

Mailing address

13050 Heacock St
Moreno Valley, CA 92553-3122
Phone (951) 485-8490

Other identifiers 1

IdentifierTypeStateIssuer
F0716675OtherCAAMERICAN ACADEMY OF NURSE PRACTITIONERS

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170705003089 CA Practitioner - Nurse Practitioner 6002184900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13050 Heacock St
Moreno Valley, CA 92553-3122
Phone (951) 485-8490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0716675CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pablo Sobero MD Inc CurrentSince May 13, 2017 Accepting new patients

Locations

24430 Alessandro Blvd
Ste 103
Moreno Valley, CA 92553
Phone (951) 485-8490

13050 Heacock St
Moreno Valley, CA 92553
Phone (951) 485-8490

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDCGBA/Endpoint/BDCGBA

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1578011037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13050 HEACOCK ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533122",
            "telephone_number": "951-485-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 HEACOCK ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533122",
            "telephone_number": "951-485-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENALES",
        "first_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F0716675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F0716675",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.