Healthcare Provider Details

I. General information

NPI: 1558404624
Provider Name (Legal Business Name): MICHAEL DERRICK ARCA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MIKE ARCA M.D.

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8260 LONGLEAF DR BLDG C
ELK GROVE CA
95758-1322
US

IV. Provider business mailing address

PO BOX 588500
ELK GROVE CA
95758-8500
US

V. Phone/Fax

Practice location:
  • Phone: 916-205-8185
  • Fax:
Mailing address:
  • Phone: 916-205-8185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA82658
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: