KELLY ANNE ARCINIEGA


Address: 700 E Gilbert St, San Bernardino, CA 92415-1003
Phone: 9093823535

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
19063 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 700 E GILBERT ST
City SAN BERNARDINO
State CA
Zip Code 92415-1003

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City SAN BERNARDINO
Zip Code 92415

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Dataset Information

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.

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