Organization Active NPI

Arcadian Health Plan of North Carolina, Inc.

  • Health Maintenance Organization
  • Oakland, CA
National Provider Identifier
1861641243
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
3513 Issued in NC
Legal business name
ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.
Practice address
500 12TH St Ste 350
Oakland, CA 94607-5204
Phone
(510) 832-0311
Fax
(510) 817-1894
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Mr. James Novello Jr.
Title
Sr. V.P. and General Counsel
Phone
(510) 817-1845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 3513 NC Primary

Addresses

Primary practice location

500 12TH St Ste 350
Oakland, CA 94607-5204

Mailing address

500 12TH St Ste 300
Oakland, CA 94607-4087
Phone (510) 832-0311

Other identifiers 1

IdentifierTypeStateIssuer
3513OtherNCMEDICARE ADVANTAGE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1861641243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 12TH ST STE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074087",
            "telephone_number": "510-832-0311",
            "fax_number": "510-817-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 12TH ST STE 350",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946075204",
            "telephone_number": "510-832-0311",
            "fax_number": "510-817-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "NOVELLO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SR. V.P. AND GENERAL COUNSEL",
        "authorized_official_telephone_number": "510-817-1845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "3513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "3513",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.