Organization Active NPI

Carlos Arcangeli MD a Professional Corporation

  • Urology Physician
  • Santa Cruz, CA
National Provider Identifier
1982774568
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G084527 Issued in CA
Legal business name
CARLOS ARCANGELI MD A PROFESSIONAL CORPORATION
Practice address
1595 Soquel Dr
110
Santa Cruz, CA 95065-1719
Phone
(831) 475-6500
Fax
(831) 475-4533
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carlos Guerino Arcangeli, MD
Title
President
Phone
(831) 475-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X G084527 CA Primary

Addresses

Primary practice location

1595 Soquel Dr
110
Santa Cruz, CA 95065-1719

Mailing address

1595 Soquel Dr
110
Santa Cruz, CA 95065-1719
Phone (831) 475-6500

Other identifiers 1

IdentifierTypeStateIssuer
00G84527MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982774568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR",
            "address_2": "110",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651719",
            "telephone_number": "831-475-6500",
            "fax_number": "831-475-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR",
            "address_2": "110",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651719",
            "telephone_number": "831-475-6500",
            "fax_number": "831-475-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS ARCANGELI MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARCANGELI",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "GUERINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-475-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G084527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G84527",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.