Active NPI
Connor Arellano, DO
- Surgery Physician
- San Diego, CA
National Provider Identifier
1710446315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 16736
- Practice address
- 38400 Bob Wilson Dr
San Diego, CA 92134-5000 - Phone
- (661) 916-7904
- NPI assigned
- Mar 14, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 16736 | ND | Primary |
Addresses
Primary practice location
38400 Bob Wilson Dr
San Diego, CA 92134-5000
Mailing address
38400 Bob Wilson Dr
San Diego, CA 92134-5000
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16736 | ND | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1710446315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38400 BOB WILSON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921345000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38400 BOB WILSON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921345000",
"telephone_number": "661-916-7904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARELLANO",
"first_name": "CONNOR",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-14",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ND",
"license": "16736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.