Provider Demographics
NPI:1043214075
Name:BARBARA J ARNOLD, MD, INC
Entity Type:Organization
Organization Name:BARBARA J ARNOLD, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-525-2020
Mailing Address - Street 1:7551 TIMBERLAKE WAY
Mailing Address - Street 2:STE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5420
Mailing Address - Country:US
Mailing Address - Phone:916-525-2020
Mailing Address - Fax:916-525-2030
Practice Address - Street 1:7551 TIMBERLAKE WY
Practice Address - Street 2:STE 100
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5421
Practice Address - Country:US
Practice Address - Phone:916-525-2020
Practice Address - Fax:916-525-2030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG24407207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G244070Medicaid
CAZZZ32577ZMedicare ID - Type Unspecified
CA00G244070Medicaid
CA5525010001Medicare NSC