NPIMap

Organization Active NPI

Enfield Ambulatory Care Center LLC

  • General Practice Physician
  • Enfield, CT
National Provider Identifier
1922183268
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0039 Issued in CT
Legal business name
ENFIELD AMBULATORY CARE CENTER LLC
Practice address
15 Palomba Drive
Enfield, CT 06082
Phone
(860) 745-1684
Fax
(860) 741-5228
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Alfredo Arbulu
Title
Member Owner
Phone
(860) 745-1684

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 0039 CT Primary
Urgent Care Clinic/Center 261QU0200X 0039 CT

Addresses

Primary practice location

15 Palomba Drive
Enfield, CT 06082

Mailing address

15 Palomba Drive
Enfield, CT 06082
Phone (860) 745-1684

Other identifiers 2

IdentifierTypeStateIssuer
68WLKN003CT01OtherCTANTHEM BCBS
991094OtherCONNECTICARE

Other names 1

  • Enfield Ambulatory Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

15 Palomba Dr
Enfield, CT 06082
Phone (860) 741-0764

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1922183268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PALOMBA DRIVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "860-745-1684",
            "fax_number": "860-741-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PALOMBA DRIVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "860-745-1684",
            "fax_number": "860-741-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENFIELD AMBULATORY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ARBULU",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "MEMBER OWNER",
        "authorized_official_telephone_number": "860-745-1684",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CT",
            "license": "0039",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CT",
            "license": "0039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "68WLKN003CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "991094",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enfield Ambulatory Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.