Individual provider Active NPI

Bradley Kirk Arnsberger, FNP-C/PA-C

  • Medical Physician Assistant
  • Orosi, CA
National Provider Identifier
1851390264
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA14631 Issued in CA
Practice address
41696 Road 128
Orosi, CA 93647-2059
Phone
(559) 528-6966
Fax
(559) 528-3665
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA14631 CA Primary

Addresses

Primary practice location

41696 Road 128
Orosi, CA 93647-2059

Mailing address

1479 W. Lacey BVLD
Hanford, CA 93230-5906
Phone (559) 583-4617

Other identifiers 1

IdentifierTypeStateIssuer
00AX65700MedicaidCA

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
I20130726000684 CA Order and Referring Only - Physician Assistant 2769623131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1851390264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 W. LACEY BVLD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305906",
            "telephone_number": "559-583-4617",
            "fax_number": "559-583-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41696 ROAD 128",
            "city": "OROSI",
            "state": "CA",
            "postal_code": "936472059",
            "telephone_number": "559-528-6966",
            "fax_number": "559-528-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNSBERGER",
        "first_name": "BRADLEY",
        "middle_name": "KIRK",
        "credential": "FNP-C/PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX65700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orosi, CA

Sources for this page

Verify at the official NPI Registry.