Generoso Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GENEROSO HEALTH LLC

Practice address

23 Cowlitz W
Castle Rock, WA 98611

Phone

(872) 395-1626

NPI assigned

Nov 22, 2021

Last updated

Aug 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arvi Mallari Generoso, MDNPI 1104104025

Title

Physician Owner

Phone

(360) 800-9480

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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.

• Arvi Mallari Generoso, M.D.

  • Internal Medicine Physician
  • Castl Rock, WA
  • NPI 1104104025
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1932866134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1163",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "986111163",
            "telephone_number": "360-800-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 COWLITZ W",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "98611",
            "telephone_number": "872-395-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEROSO HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "GENEROSO",
        "authorized_official_first_name": "ARVI",
        "authorized_official_middle_name": "MALLARI",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "360-800-9480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Joy Dudenhofer, P.T.
• Educational Service District 112
• Emma V Torres Baltazar MD PLLC
• Jennifer Nicole Farrelly, LMP
• Gregory Loren Finkas, DC
• Janet Eileen Harper, RDH
• Terry Lynn Holloway
• Crystal Hummel, RN
• Sara Jean Jenkins
• Lester Blaine Kennington, DDS

• Clinic/Center in Castle Rock, WA
• Providers in Castle Rock, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.