Active NPI
Bradley Kirk Arnsberger, FNP-C/PA-C
- Medical Physician Assistant
- Orosi, CA
National Provider Identifier
1851390264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA14631
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX65700 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.