Healthcare Provider Details

I. General information

NPI: 1922024942
Provider Name (Legal Business Name): MICHAEL A ARATA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 09/02/2026
Certification Date: 01/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12500 WILLOWBROOK RD
CUMBERLAND MD
21502-6393
US

IV. Provider business mailing address

1591 VILLAGE WAY
MOUNT SHASTA CA
96067-9442
US

V. Phone/Fax

Practice location:
  • Phone: 240-964-1036
  • Fax: 240-964-1048
Mailing address:
  • Phone: 949-247-8877
  • Fax: 949-247-8878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA70967
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberD0086283
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberA70967
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: