Arcadian Health Plan, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

174 Issued in WA

Legal business name

ARCADIAN HEALTH PLAN, INC.

Practice address

500 12TH St Ste 300
Oakland, CA 94607-4087

Phone

(510) 832-0311

Fax

(510) 817-1894

NPI assigned

Nov 18, 2008

Organization subpart

No

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

Authorized official

Name

Mr. James Novello Jr.

Title

Sr. VP and General Counsel

Phone

(510) 817-1845

Specialties & licenses 9

Addresses

Other identifiers 9

Locations

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1598910549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 12TH ST STE 350",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946075204",
            "telephone_number": "510-832-0311",
            "fax_number": "510-817-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 12TH ST STE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074087",
            "telephone_number": "510-832-0311",
            "fax_number": "510-817-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIAN HEALTH PLAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "NOVELLO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SR. VP AND GENERAL COUNSEL",
        "authorized_official_telephone_number": "510-817-1845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "12151",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "ME",
            "license": "112421",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "SC",
            "license": "166975",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "13794 (FOR AHP)",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "174",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "FILE NUMBER 933 0468",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MO",
            "license": "12151",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NH",
            "license": "103078",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "12151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "103078",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "166975",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "FILE NUMBER 933 0468",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "12151",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "12151",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "12151",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "13794 (FOR AHP)",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "112421",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "174",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arcadian Health Plan of Georgia, Inc.
• Arcadian Health Plan of Louisiana, Inc.
• Arcadian Health Plan of New York, Inc.
• Arcadian Health Plan of North Carolina, Inc.
• Arcadian Health Plan, Inc. (Arcadian Health Plan, Inc. dba Arkansas Community Care, Inc.)
• Sam Nicholas Arcas, DO
• Keyla Alejandra Arce
• Monica Hazel Arceneaux
• Megan Archer
• Marie Archuleta

• Health Maintenance Organization in Oakland, CA
• Providers in Oakland, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.