=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306225123
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARCE MEDICAL CARE, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/26/2015
-----------------------------------------------------
Last Update Date | 08/01/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 N LA CUMBRE RD STE M
-----------------------------------------------------
City | SANTA BARBARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93110-2596
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-324-4399
-----------------------------------------------------
Fax | 805-770-2475
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 N LA CUMBRE RD STE M
-----------------------------------------------------
City | SANTA BARBARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93110-2596
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-324-4399
-----------------------------------------------------
Fax | 805-770-2475
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. FELIPE DE JESUS ARCE
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 805-324-4399
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number | A80151
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------