MEDICARE: ARTHRITIS AND RHEUMATOLOGY MEDICAL ASSOCIATES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	FNP25477	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	197318900	OTHER	CA	EEOIC
2	ZZZ56871Z	OTHER	CA	BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154403483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTHRITIS AND RHEUMATOLOGY MEDICAL ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	120 LA CASA VIA
Second Line	:	SUITE 204
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-3067
Country	:	US
Telephone Number	:	925-210-1050
Fax Number	:	925-210-1082

Provider Business Practice Location Address
First Line	:	120 LA CASA VIA
Second Line	:	SUITE 204
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-3067
Country	:	US
Telephone Number	:	925-210-1050
Fax Number	:	925-210-1082

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RAJIV KUMAR DIXIT
Credential	:	M.D.
Telephone Number	:	925-210-1050

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	12/27/2021

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