Healthcare Provider Details

I. General information

NPI: 1023549755
Provider Name (Legal Business Name): NICOLE ARCEO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 W GONZALES RD
OXNARD CA
93036-9004
US

IV. Provider business mailing address

451 W GONZALES RD
OXNARD CA
93036-9004
US

V. Phone/Fax

Practice location:
  • Phone: 805-983-3900
  • Fax:
Mailing address:
  • Phone: 805-983-3900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20A16815
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: