NPIMap

Organization Active NPI

Nephrology Consultants Medical Office Inc

  • Nephrology Physician
  • Orange, CA
National Provider Identifier
1790962900
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY CONSULTANTS MEDICAL OFFICE INC
Practice address
500 S Main St
Ste 101
Orange, CA 92868-4507
Phone
(714) 836-4204
Fax
(714) 836-1809
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Michael Edward Arquilla, M.D.
Title
President
Phone
(714) 836-4204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

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

Mailing address

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1790962900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S MAIN ST",
            "address_2": "STE 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": "STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684507",
            "telephone_number": "714-836-4204",
            "fax_number": "714-836-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY CONSULTANTS MEDICAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "ARQUILLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-836-4204",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.