Healthcare Provider Details

I. General information

NPI: 1730058793
Provider Name (Legal Business Name): ARTURO B NAVA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1881 CAMPUS COMMONS DR STE 500
RESTON VA
20191-1572
US

IV. Provider business mailing address

8459 OTIS ST APT 114
SOUTH GATE CA
90280-2579
US

V. Phone/Fax

Practice location:
  • Phone: 703-391-9680
  • Fax:
Mailing address:
  • Phone: 323-768-5970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number018692
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: