KELLY ANNE ARCINIEGA (NPI# 1285907469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285907469 |
Entity Type | Individual |
Full Name | KELLY ANNE ARCINIEGA |
Credential | NP |
Practice Address |
700 E Gilbert St San Bernardino CA 92415-1003 |
Mailing Address |
11234 Anderson St Llumc Room 6700-h, Advanced Practice Services Loma Linda CA 92354-2804 |
Practice Telephone | 9093823535 |
Practice Fax Number | 9093833830 |
Mailing Telephone | 9095587320 |
Mailing Fax Number | 9095587873 |
Enumeration Date | 2012-02-17 |
Last Update Date | 2016-01-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
19063 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
700 E GILBERT ST |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92415-1003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003909045 | Maria Teresa Salanga | Counselor | 700 E Gilbert St, San Bernardino, CA 92415-1003 | 2006-10-02 |
1891156352 | Brea Trinity Smith | Nurse Practitioner | 700 E Gilbert St, San Bernardino, CA 92415-1003 | 2016-03-11 |
1689072183 | Shahidi Herbert | Case Manager/Care Coordinator | 700 E Gilbert St, San Bernardino, CA 92415-1003 | 2014-12-15 |
1982006243 | County of San Bernardino | Clinic/Center | 700 E Gilbert St, San Bernardino, CA 92415 | 2014-09-18 |
1083047799 | Alana Darr | Counselor | 700 E Gilbert St, San Bernardino, CA 92415-7135 | 2013-08-16 |
1518305630 | Jennie Christine Daly | Pediatrics | 700 E Gilbert St, San Bernardino, CA 92415-1003 | 2013-06-11 |
1538456827 | Kimberly Ann Miller | Student in an Organized Health Care Education/Training Program | 700 E Gilbert St, Building 4, San Bernardino, CA 92415-1003 | 2011-07-07 |
1790011245 | Emma Noemi Orellana | Social Worker | 700 E Gilbert St, San Bernardino, CA 92415-1003 | 2009-10-19 |
1689865156 | Fred Arvin Lee | Social Worker | 700 E Gilbert St, Bldg 4, San Bernardino, CA 92415-1003 | 2007-08-08 |
1831389212 | Mayra Urena | Social Worker | 700 E Gilbert St, Suite 4, San Bernardino, CA 92415-1003 | 2007-07-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578041042 | Karina Judith Barragan | Student in an Organized Health Care Education/Training Program | 19500 South Sunwest Lane, San Bernardino, CA 92415 | 2018-08-06 |
1841714839 | Layla Subhani | Marriage & Family Therapist | 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 | 2017-08-01 |
1023546637 | Angelica Ruiz | Marriage & Family Therapist | 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2017-05-25 |
1750825030 | Jordyn Ackerman | Marriage & Family Therapist | 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2016-12-06 |
1083063663 | San Bernardino County Department of Public Health | Public Health or Welfare | 1505 South D Street, San Bernardino, CA 92415 | 2016-06-06 |
1366821233 | Jodi Cerney | Counselor | 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 | 2015-05-26 |
1427442268 | Yessenia Cruz | Case Manager/Care Coordinator | 780 E Gilbert St Bldg H, San Bernardino, CA 92415 | 2015-03-18 |
1861808859 | Hector Armando Ortega | Student in an Organized Health Care Education/Training Program | 1950 S. Sunwest Ln., Rialto, CA 92415 | 2014-07-10 |
1437564762 | Ashlee Barker | Marriage & Family Therapist | 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 | 2014-06-25 |
1669802708 | County of San Bernardino | In Home Supportive Care | 784 E Hospitality Ln, San Bernardino, CA 92415 | 2013-11-26 |
Find all providers in zip 92415 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033496351 | Laura Elise Hiday | Nurse Practitioner | Childrens Assessment Ctr, 700 E Gilbert St, San Bernardino, CA 92415-0001 | 2011-11-15 |
1164057022 | Margaret Akua Amoo | Nurse Practitioner | 1800 Western Ave Ste 305, San Bernardino, CA 92411-1354 | 2020-03-11 |
1891156352 | Brea Trinity Smith | Nurse Practitioner | 700 E Gilbert St, San Bernardino, CA 92415-1003 | 2016-03-11 |
1891167029 | Nicole Adams | Nurse Practitioner | 250 E Caroline St, San Bernardino, CA 92408-3747 | 2015-10-27 |
1932584737 | Noel Dominguez | Nurse Practitioner | 1455 3rd Ave, San Bernardino, CA 92408-0218 | 2015-07-22 |
1144628041 | Del Grace | Nurse Practitioner | 1850 S Waterman Ave, Suite F, San Bernardino, CA 92408-2877 | 2014-12-09 |
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---|---|---|---|---|
1528668167 | Amber Briana Curry | Nurse Practitioner | 1336 6th Ave, San Francisco, CA 94122-2504 | 2020-10-30 |
1194325092 | Caitlin Pirruccello | Nurse Practitioner | 5400 Balboa Blvd Ste 210, Encino, CA 91316-5208 | 2020-10-29 |
1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
1184221798 | Larae Jean Hansen | Nurse Practitioner | 7805 Redondo St, Ventura, CA 93004-3814 | 2020-10-06 |
1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
1538774070 | Emily Ruth Schoen | Nurse Practitioner | 110 Calle Balboa, San Clemente, CA 92672-3132 | 2020-09-11 |
1831715770 | Veronica Munoz-rivera I | Nurse Practitioner | 1327 Leopard Ct, Palmdale, CA 93551-4360 | 2020-06-16 |
1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
1053949214 | Gina Louise James | Nurse Practitioner | 124 Stoney Hill Dr, Folsom, CA 95630-4614 | 2020-03-31 |
1831723519 | Patrinella Gonzales | Nurse Practitioner | 81833 Dr Carreon Blvd Ste 6, Indio, CA 92201-5590 | 2020-03-03 |
Find all providers with the same taxonomy |
City | SAN BERNARDINO |
Zip Code | 92415 |
Please comment or provide details below to improve the information on KELLY ANNE ARCINIEGA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.