Provider Demographics
NPI:1972149052
Name:ARCE, FRANCIS ALBERT AREVALO
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:ALBERT AREVALO
Last Name:ARCE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 MOSSY OAK CT
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-5367
Mailing Address - Country:US
Mailing Address - Phone:916-833-1158
Mailing Address - Fax:
Practice Address - Street 1:1485 RIVER PARK DR STE 200
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4530
Practice Address - Country:US
Practice Address - Phone:916-325-1040
Practice Address - Fax:916-669-4100
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-23
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95013444363LF0000X
CA708498163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergencyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty