Active NPI
Eric Joshua Arreola, PA
- Physician Assistant
- Glendale, AZ
National Provider Identifier
1861131047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9330
- Practice address
- 3575 W Deer Valley Rd
Glendale, AZ 85308-2002 - Phone
- (480) 585-5200
- NPI assigned
- Jun 3, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9330 | AZ | Primary |
Addresses
Primary practice location
3575 W Deer Valley Rd
Glendale, AZ 85308-2002
Mailing address
700 N 4TH St Apt 1102
Phoenix, AZ 85004-0735
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 |
|---|---|---|---|---|
| I20250603004129 | CA | Order and Referring Only - Physician Assistant | 6608385364 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9330 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Pediatrics and Pediatric Nephrology, PLLC | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1629076518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1861131047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N 4TH ST APT 1102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850040735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 W DEER VALLEY RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853082002",
"telephone_number": "480-585-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARREOLA",
"first_name": "ERIC",
"middle_name": "JOSHUA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-03",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
- Heather Arnold
- Thomas L Arnold, PTA
- Brandon Douglas Arnow
- Gail L. Arocho-Geary, R.N.
- Ashley Danielle Arredondo, RBT
- Arrive Mobile Health LLC
- Arrowhead Children'S Dentistry and Orthodontics PLLC
- Arrowhead Childrens Dentistry, PLC
- Arrowhead Chiropractic Center PC
- Arrowhead Endoscopy and Pain Management Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.