Active NPI
Omar Manuel Arreola, MD
- Dentist
- San Diego, CA
National Provider Identifier
1801945332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 45087
- Practice address
- 2948 University Ave
San Diego, CA 92104-2934 - Phone
- (619) 294-4500
- Fax
- (619) 294-5753
- NPI assigned
- Jan 10, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 45087 | CA | Primary |
Addresses
Primary practice location
2948 University Ave
San Diego, CA 92104-2934
Mailing address
5126 Bay Crest LN
San Diego, CA 92154-4875
Phone (619) 253-0068
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
| License | State | Type | Specialty |
|---|---|---|---|
| 45087 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Dental Services, Inc. | Dentist | Past | Accepting new patients |
Interoperability endpoints
- oarreola@direct.westerndental.com
Organizations & group practices 1
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.
-
- Dentist
- San Diego, CA
- NPI 1518021013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1801945332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5126 BAY CREST LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921544875",
"telephone_number": "619-253-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2948 UNIVERSITY AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921042934",
"telephone_number": "619-294-4500",
"fax_number": "619-294-5753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARREOLA",
"first_name": "OMAR",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "45087",
"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 Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.