Individual provider Active NPI

Paloma Arvizu, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1689139396
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008782 Issued in CA
Practice address
4168 Front St
San Diego, CA 92103-2030
Phone
(800) 926-8273
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 95008782 CA Primary

Addresses

Primary practice location

4168 Front St
San Diego, CA 92103-2030

Mailing address

File 57326
Los Angeles, CA 90074-0001

Other practice location 1

10737 Camino Ruiz Ste 235
San Diego, CA 92126-2375
Phone (844) 200-2426

Other identifiers 1

IdentifierTypeStateIssuer
95008782OtherCANURSE PRACTITIONER

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
I20190515000154 CA Practitioner - Nurse Practitioner 1254674260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4168 Front St
San Diego, CA 92103-2030
Phone (858) 657-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Aug 1, 2022 Accepting new patients
Regents of the University of California - Ucsd Medical Group CurrentSince Nov 10, 2024 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Family Health Centers of San Diego Inc CurrentSince Aug 1, 2022 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Nov 10, 2024 Accepting new patients
Operation Samahan, Inc. PastSince Jul 22, 2025 Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

7592 Broadway
Lemon Grove, CA 91945
Phone (619) 515-2550

File 57326
Los Angeles, CA 90074

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

4168 Front St
San Diego, CA 92103
Phone (619) 471-0420

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

4168 Front St
Fl 3
San Diego, CA 92103
Phone (619) 543-3995

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1689139396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57326",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4168 FRONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032030",
            "telephone_number": "800-926-8273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10737 Camino Ruiz Ste 235",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921262375",
            "country_code": "US",
            "telephone_number": "844-200-2426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARVIZU",
        "first_name": "PALOMA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "95008782",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.