Individual provider Active NPI

Francis Albert Arevalo Arce

  • Emergency Registered Nurse
  • Sacramento, CA
National Provider Identifier
1972149052
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
708498 Issued in CA
Practice address
1485 River Park Dr Ste 200
Sacramento, CA 95815-4530
Phone
(916) 325-1040
Fax
(916) 669-4100
NPI assigned
Nov 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013444 CA
Emergency Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WE0003X 708498 CA Primary

Addresses

Primary practice location

1485 River Park Dr Ste 200
Sacramento, CA 95815-4530

Mailing address

2501 Mossy Oak CT
Rocklin, CA 95765-5367
Phone (916) 833-1158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
708498CAMDEmergency Registered Nurse
95013444CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1972149052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 MOSSY OAK CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655367",
            "telephone_number": "916-833-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 RIVER PARK DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154530",
            "telephone_number": "916-325-1040",
            "fax_number": "916-669-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCE",
        "first_name": "FRANCIS",
        "middle_name": "ALBERT AREVALO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-23",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013444",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "708498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.