Pablo A Arevalo, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A44797 Issued in CA

Practice address

3400 E Florence Ave
Suite a
Huntington Park, CA 90255-5835

Phone

(323) 588-5157

Fax

(323) 588-6878

NPI assigned

Dec 13, 2005

Last updated

Aug 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1811972847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8903 GUATEMALA AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902402036",
            "telephone_number": "323-588-5157",
            "fax_number": "323-588-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FLORENCE AVE",
            "address_2": "SUITE A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555835",
            "telephone_number": "323-588-5157",
            "fax_number": "323-588-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "PABLO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A44797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A447970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ardmore Medical Group (Clinica Humanitaria)
• Ardmore Medical Group (Clinica Humanitaria)
• Ardmore Medical Group (Clinica Humanitaria)
• Liliana Yenissay Arevalo Jimenez
• Jonathan Christopher Arevalo
• Felix Alfonso Argueta Carpio, SA-C
• Erlinda J Arias
• Arj Medical, Inc.
• Arjang DDS Inc.
• Arque TLC Inc.

• Specialist in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.