Active NPI
Isis Michelle Arizmendez
- Student in an Organized Health Care Education/Training Program
- Santa Ana, CA
National Provider Identifier
1851177786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- R1457160222
- Practice address
- 2100 N Broadway Ste 101
Santa Ana, CA 92706-2624 - Phone
- (714) 245-6881
- Fax
- (714) 245-6891
- NPI assigned
- Sep 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | R1457160222 | CA | Primary |
Addresses
Primary practice location
2100 N Broadway Ste 101
Santa Ana, CA 92706-2624
Mailing address
2100 N Broadway Ste 101
Santa Ana, CA 92706-2624
Phone (714) 245-6881
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1457160222 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1851177786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 N BROADWAY STE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927062624",
"telephone_number": "714-245-6881",
"fax_number": "714-245-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N BROADWAY STE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927062624",
"telephone_number": "714-245-6881",
"fax_number": "714-245-6891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARIZMENDEZ",
"first_name": "ISIS",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-06",
"last_updated": "2023-09-06",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "R1457160222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.