Active NPI
Arnold Charaschirakul, MBA, ATC
- Athletic Trainer
- San Ramon, CA
National Provider Identifier
1598053027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000007540
- Practice address
- 5201 Norris Canyon Rd Ste 300
San Ramon, CA 94583 - Phone
- (925) 939-8585
- NPI assigned
- Jul 18, 2011
- Last updated
- Sep 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000007540 | CA | Primary |
Addresses
Primary practice location
5201 Norris Canyon Rd Ste 300
San Ramon, CA 94583
Mailing address
4512 Actriz PL
Martinez, CA 94553-1459
Phone (805) 304-2668
Other practice location 1
2619 Tumbleweed Ave
Simi Valley, CA 93065-1309
Phone (805) 304-2668
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)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000007540 | CA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Specialist Surgical Center LLC | Current | Accepting new patients | |
| Willow Surgery Center, LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hayes Valley Surgery Center
- Ambulatory Surgical Clinic/Center
- San Francisco, CA
- NPI 1508144007
-
- Ambulatory Surgical Clinic/Center
- San Francisco, CA
- NPI 1740642230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1598053027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4512 ACTRIZ PL",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945531459",
"telephone_number": "805-304-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 NORRIS CANYON RD STE 300",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "94583",
"telephone_number": "925-939-8585"
}
],
"practiceLocations": [
{
"address_1": "2619 Tumbleweed Ave",
"address_purpose": "LOCATION",
"city": "Simi Valley",
"state": "CA",
"postal_code": "930651309",
"country_code": "US",
"telephone_number": "805-304-2668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARASCHIRAKUL",
"first_name": "ARNOLD",
"credential": "MBA, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-18",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "2000007540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.