Organization Active NPI

Tyrone Arce MD Inc.

  • Internal Medicine Physician
  • Lake Elsinore, CA
National Provider Identifier
1922234293
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A056377 Issued in CA
Legal business name
TYRONE ARCE MD INC.
Practice address
121 S Main St
Lake Elsinore, CA 92530-4108
Phone
(951) 471-0266
Fax
(951) 471-2315
NPI assigned
Jun 1, 2009
Last updated
Nov 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Dr. Tyrone E. Arce I, M.D.NPI 1205085800
Title
Medical Director/Owner
Phone
(951) 471-0266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A056377 CA Primary

Addresses

Primary practice location

121 S Main St
Lake Elsinore, CA 92530-4108

Mailing address

121 S Main St
Lake Elsinore, CA 92530-4108
Phone (951) 471-0266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111130000251 CA Part B Supplier - Clinic/Group Practice 3870767965 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Elsinore, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1922234293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S MAIN ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304108",
            "telephone_number": "951-471-0266",
            "fax_number": "951-471-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S MAIN ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304108",
            "telephone_number": "951-471-0266",
            "fax_number": "951-471-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRONE ARCE MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "ARCE",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "951-471-0266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A056377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.