Individual provider Active NPI

Arlenne Ginesta, MD

  • Child & Adolescent Psychiatry Physician
  • Temecula, CA
National Provider Identifier
1720308612
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A124266 Issued in CA
Practice address
41002 County Center Dr
Temecula, CA 92591-6051
Phone
(951) 600-6355
Fax
(951) 600-6365
NPI assigned
Jun 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A124266 CA Primary

Addresses

Primary practice location

41002 County Center Dr
Temecula, CA 92591-6051

Mailing address

41002 County Center Dr Ste 320
Temecula, CA 92591-6027
Phone (951) 600-6355

Other identifiers 1

IdentifierTypeStateIssuer
1720308612OtherNONE

Other names 1

  • Arlenne Shapov Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ashapov@ruhealth.org

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 Medicine

State licenses

LicenseStateTypeSpecialty
A124266CAMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1720308612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41002 COUNTY CENTER DR STE 320",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916027",
            "telephone_number": "951-600-6355",
            "fax_number": "951-600-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41002 COUNTY CENTER DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916051",
            "telephone_number": "951-600-6355",
            "fax_number": "951-600-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINESTA",
        "first_name": "ARLENNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A124266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "1720308612",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ashapov@ruhealth.org",
            "affiliation": "N",
            "address_1": "41002 County Center Dr Ste 320",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925916027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ARLENNE",
            "last_name": "SHAPOV",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.