Individual provider Active NPI

Edsel Arce-Hernandez, MD

  • Pediatric Rheumatology Physician
  • Madera, CA
National Provider Identifier
1861458002
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
C52377 Issued in CA
Practice address
9300 Valley Childrens PL
Suite G270
Madera, CA 93638-8761
Phone
(559) 353-6450
Fax
(559) 353-7214
NPI assigned
Apr 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rheumatology Physician 2080P0216X 38583 TN
Pediatric Rheumatology Physician 2080P0216X C52377 CA Primary

Addresses

Primary practice location

9300 Valley Childrens PL
Suite G270
Madera, CA 93638-8761

Mailing address

9300 Valley Childrens PL
Suite G270
Madera, CA 93638-8761
Phone (559) 353-6450

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061027000231 CA Practitioner - Pediatric MedicinePractitioner - Rheumatology 0345211041 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52377CAMDGeneral Practice Dentistry
C52377CAMDPediatric Rheumatology Physician
38583TNMDPediatric Rheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince Dec 19, 2023 Accepting new patients
Reedley Community Hospital CurrentSince Dec 19, 2023 Accepting new patients
Valley Children's Medical Group Past Accepting new patients

Locations

300 S Leon S. Peters Blvd
Fowler, CA 93625
Phone (559) 834-1614

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861458002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "address_2": "SUITE G270",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388761",
            "telephone_number": "559-353-6450",
            "fax_number": "559-353-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "address_2": "SUITE G270",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388761",
            "telephone_number": "559-353-6450",
            "fax_number": "559-353-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCE-HERNANDEZ",
        "first_name": "EDSEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "TN",
            "license": "38583",
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "CA",
            "license": "C52377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.