MEDICARE: MICHAEL DERRICK ARCA M.D.

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	207Q00000X	Family Medicine Physician	A82658	CA

General Provider Information

NPI Number	:	1558404624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL DERRICK ARCA M.D.

Provider Business Mailing Address
First Line	:	501 J ST
Second Line	:	SUITE #230
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-2325
Country	:	US
Telephone Number	:	916-205-8185
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 J ST
Second Line	:	SUITE #230
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-2325
Country	:	US
Telephone Number	:	916-205-8185
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	06/14/2012

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