Individual provider Active NPI

Michael Edward Arquilla, M.D.

  • Specialist
  • Orange, CA
National Provider Identifier
1598734832
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A42344 Issued in CA
Practice address
500 S Main St
Suite 101
Orange, CA 92868-4507
Phone
(714) 836-4204
Fax
(714) 836-1809
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A42344 CA Primary

Addresses

Primary practice location

500 S Main St
Suite 101
Orange, CA 92868-4507

Mailing address

500 S Main St
Suite 101
Orange, CA 92868-4507
Phone (714) 836-4204

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080707000190 CA Practitioner - NephrologyPractitioner - Internal Medicine 2668544719 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A42344CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Kidney Consultants Inc. Nephrology CurrentSince Feb 19, 2018 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Nephrology Specialists Medical Group, Inc. Specialist Past Accepting new patients
Kevin Pham, M.D., Inc Nephrology Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

100 E Valencia Mesa Dr
Ste 100
Fullerton, CA 92835
Phone (714) 525-4185

12665 Garden Grove Blvd
Ste 211
Garden Grove, CA 92843
Phone (714) 636-2890

5451 La Palma Ave
Ste 47
La Palma, CA 90623
Phone (714) 226-0818

1310 W Stewart Dr
Ste 210
Orange, CA 92868
Phone (714) 288-9229

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7431/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/21072/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1598734832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S MAIN ST",
            "address_2": "SUITE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684507",
            "telephone_number": "714-836-4204",
            "fax_number": "714-836-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S MAIN ST",
            "address_2": "SUITE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684507",
            "telephone_number": "714-836-4204",
            "fax_number": "714-836-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARQUILLA",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A42344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.