Individual provider Active NPI

Ma Ana Leon Arbo, FNP

  • Nurse Practitioner
  • Merced, CA
National Provider Identifier
1912349291
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
23097 Issued in CA
Practice address
3349 G St Ste C
Merced, CA 95340-0978
Phone
(209) 580-4638
Fax
(209) 580-4163
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 690751 CA
Nurse Practitioner 363L00000X 23097 CA Primary

Addresses

Primary practice location

3349 G St Ste C
Merced, CA 95340-0978

Mailing address

3349 G St Ste C
Merced, CA 95340-0978
Phone (209) 383-1848

Other names 1

  • Ma Ana Basilia Leon Arbo Tiu Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140121000088 CA Practitioner - Nurse Practitioner 2466680418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Provident Primary Care IncGroup PAC ID 8628350873, 10 clinicians

Practice addresses (Care Compare)

3349 G St
Suite C
Merced, CA 95340-0978
Phone (209) 580-4638

Hospital & facility affiliations

  • Mercy Home Care Home health agency, Merced, CA, CCN 557523
  • Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
  • Altruity Home Health and Hospice Home health agency, Atwater, CA, CCN 559487
  • Mercy Medical Center Hospital, Merced, CA, CCN 050444

Merit-based Incentive Payment System (MIPS)

Final score
81.84 of 100Reported as individual
Quality
65.83
Improvement activities
40
Cost
82.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
23097CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marbo@mcpmedicalofc.directglo.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1912349291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 G ST STE C",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400978",
            "telephone_number": "209-383-1848",
            "fax_number": "209-383-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 G ST STE C",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400978",
            "telephone_number": "209-580-4638",
            "fax_number": "209-580-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBO",
        "first_name": "MA ANA",
        "middle_name": "LEON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "690751",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "23097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA ANA BASILIA",
            "last_name": "ARBO TIU",
            "middle_name": "LEON",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.