Healthcare Provider Details

I. General information

NPI: 1275987216
Provider Name (Legal Business Name): CHRIS ARCA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4149 CHESTNUT ST
RIVERSIDE CA
92501-3538
US

IV. Provider business mailing address

11234 ANDERSON ST SUITE C
LOMA LINDA CA
92354-2804
US

V. Phone/Fax

Practice location:
  • Phone: 951-498-3661
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberA153243
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: