Active NPI
Arwin Plete
- Community Health Worker
- Montrose, CA
National Provider Identifier
1982060331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- AT 8168
- Practice address
- 2123 Verdugo Blvd
Montrose, CA 91020-1628 - Phone
- (818) 249-3925
- NPI assigned
- Jan 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | AT 8168 | CA | Primary |
Addresses
Primary practice location
2123 Verdugo Blvd
Montrose, CA 91020-1628
Mailing address
12015 Carl St
Sylmar, CA 91342-6447
Phone (818) 934-6689
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT 8168 | CA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1982060331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12015 CARL ST",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913426447",
"telephone_number": "818-934-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 VERDUGO BLVD",
"city": "MONTROSE",
"state": "CA",
"postal_code": "910201628",
"telephone_number": "818-249-3925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLETE",
"first_name": "ARWIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-14",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "AT 8168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.