MRS. TRACY MELINDA ARSENAULT PA-C NPI 1497056824

NPI Information

NPI: 1497056824
Provider Name: MRS. TRACY MELINDA ARSENAULT, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
4980 BARRANCA PKWY
SUITE 200
IRVINE, CA
ZIP 92604
Phone: (949) 786-5050
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MRS. Tracy Melinda Arsenault, PA-C is a surgical physician assistant in Irvine, CA. MRS. Tracy Melinda Arsenault, PA-C NPI is 1497056824. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4980 BARRANCA PKWY
SUITE 200
IRVINE, CA
ZIP 92604-645
Phone: (949) 786-5050

The enumeration date for this NPI number is 11/17/2010 and was last updated on 6/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	2708-023	WISCONSIN	No
2	363AS0400X	Physician Assistant	Surgical	10001255A	INDIANA	No
3	363AM0700X	Physician Assistant	Medical	085-003952	ILLINOIS	No
4	363AS0400X	Physician Assistant	Surgical	085-003952	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T01332	MEDICARE PIN	ILLINOIS
2	M400039660	MEDICARE PIN	INDIANA
3	01618941	OTHER	ILLINOIS	BLUECROSS BLUESHIELD
4	T01333	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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