Individual provider Active NPI

Vicente Amadeo Arias

  • Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1831771955
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95016832 Issued in CA
Practice address
8628 Mesa Oak Dr
Riverside, CA 92508-3167
Phone
(951) 275-2676
NPI assigned
Apr 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95016832 CA Primary

Addresses

Primary practice location

8628 Mesa Oak Dr
Riverside, CA 92508-3167

Mailing address

8628 Mesa Oak Dr
Riverside, CA 92508-3167
Phone (951) 275-2676

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025001288 CA Practitioner - Nurse Practitioner 5395191548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016832CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Ca, PC CurrentSince Oct 11, 2023 Accepting new patients
Professional Portable Radiologic Services Inc. Past Accepting new patients

Locations

5735 Sunrise Blvd
Citrus Hts, CA 95610

604 E Huntington Dr
Ste B
Monrovia, CA 91016

720 Carnegie Dr
Ste 140
San Bernardino, CA 92408

4719 Viewridge Ave
Ste 130
San Diego, CA 92123
Phone (303) 500-1815

140 Centennial Way
Tustin, CA 92780
Phone (706) 315-2523

Interoperability endpoints

  • Direct secure messaging: vicente.arias.1@18340.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1831771955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8628 MESA OAK DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925083167",
            "telephone_number": "951-275-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8628 MESA OAK DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925083167",
            "telephone_number": "951-275-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIAS",
        "first_name": "VICENTE",
        "middle_name": "AMADEO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.