Basic Information
| Provider Information | |||||||||
| NPI: | 1972149052 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARCE | ||||||||
| FirstName: | FRANCIS | ||||||||
| MiddleName: | ALBERT AREVALO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2501 MOSSY OAK CT | ||||||||
| Address2: | |||||||||
| City: | ROCKLIN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 957655367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9168331158 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1485 RIVER PARK DR STE 200 | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958154530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163251040 | ||||||||
| FaxNumber: | 9166694100 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/23/2019 | ||||||||
| LastUpdateDate: | 12/13/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/13/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 95013444 | CA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 163WE0003X | 708498 | CA | Y | 193200000X MULTI-SPECIALTY GROUP | Nursing Service Providers | Registered Nurse | Emergency |
No ID Information.