Active NPI
Rene Arquisola
- Driver
- Cerritos, CA
National Provider Identifier
1891428652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- V8087984
- Practice address
- 11538 Bos St
Cerritos, CA 90703-6743 - Phone
- (562) 335-8193
- NPI assigned
- Jul 7, 2022
- Last updated
- Jul 7, 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 |
|---|---|---|---|---|
| Driver | 172A00000X | V8087984 | CA | Primary |
Addresses
Primary practice location
11538 Bos St
Cerritos, CA 90703-6743
Mailing address
11538 Bos St
Cerritos, CA 90703-6743
Phone (562) 335-8193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V8087984 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1891428652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11538 BOS ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036743",
"telephone_number": "562-335-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11538 BOS ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036743",
"telephone_number": "562-335-8193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARQUISOLA",
"first_name": "RENE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-07",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": "CA",
"license": "V8087984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.