Albert Henry Arteaga, M.D.
Individual provider Active NPI Pediatrics Physician · Fontan, CA
NPI 1942398482 · NPPES record last updated Nov 14, 2012
Key facts
- NPI
- 1942398482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- A38206 (CA)
- Practice address
- 17577 Arrow Blvd
Fontan, CA 92335 - Phone
- (909) 823-4454
- Fax
- (909) 823-6918
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A38206 | CA | MD | Pediatrics Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aha Medical Clinics, Inc. | Current | Accepting new patients | |
| Lasalle Medical Associates | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A38206 | CA | Yes |
Addresses
Primary practice location
17577 Arrow Blvd
Fontan, CA 92335
Mailing address
685 Carnegie Dr.
Suite 230
San Bernardino, CA 92408-3583
Phone (909) 890-0407
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A382060 | Other | CA | MEDI-CAL |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.