NATHAN JOSEPH ARBOLEDA MD
NPI 1124604806
Ophthalmology in San Francisco, CA

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment
1001 POTRERO AVE., BLDG. 5, 4M, SAN FRANCISCO, CA 94110(628) 206-8025(628) 206-2681 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2025, Jul 1, 2025, Mar 23, 2021 (3 updates tracked since 2021).

About Nathan Joseph Arboleda Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN JOSEPH ARBOLEDA MD (NPI 1124604806) is an individual ophthalmology provider in San Francisco, California, licensed in California (A202594) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of State University Of Ny Upstate Medical University (2021).

NPPES Registry Identity

NPI1124604806
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameNATHAN JOSEPH ARBOLEDACredential: MD
Location Address1001 POTRERO AVE., BLDG. 5, 4MSan Francisco, CA 94110
Mailing Address490 Illinois StreetSan Francisco, CA 94158 · Fax (718) 920-8403
Fax(628) 206-2681
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2021
Enumeration DateMarch 22, 2021
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1124604806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A202594
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1001 POTRERO AVE., San Francisco, CA 94110

Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-6097 · Fax (718) 920-8403

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathan Joseph Arboleda Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901318484
PECOS Enrollment IDI20250620002537
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Nathan Arboleda reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1001 POTRERO AVE, BUILDING 5, WARD 1B
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 1,573 clinicians in this Medicare group
Family Medicine
1001 POTRERO AVE, BLDG 80 WARD 83 RM 320
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 842 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
1600 DIVISADERO ST
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1001 POTRERO AVE., BLDG. 5, #6M
SAN FRANCISCO, CA 94110
Internal Medicine
1001 POTRERO AVE.
SAN FRANCISCO, CA 94110
Obstetrics & Gynecology
1001 POTRERO AVE., BLDG. 5, #5M
SAN FRANCISCO, CA 94110
Internal Medicine (Nephrology)
1001 POTRERO AVE., BLDG. 100, 3RD FL., #342
SAN FRANCISCO, CA 94110
Psychiatric Hospital
1001 POTRERO AVE., SAN FRANCISCO GENERAL HOSPITAL, UNIT 7C
SAN FRANCISCO, CA 94110
Emergency Medicine
1001 POTRERO AVE., BLDG. 25 1ST FLOOR
SAN FRANCISCO, CA 94110
Counselor
1001 POTRERO AVE.
SAN FRANCISCO, CA 94110
Ophthalmology
1001 POTRERO AVE., BLDG. 5, 4M
SAN FRANCISCO, CA 94110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Arboleda's NPI number?

The NPI number for Nathan Arboleda is 1124604806. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Nathan Arboleda located?

Nathan Arboleda practices at 1001 Potrero Ave. Bldg. 5, 4M, San Francisco, CA 94110. The listed phone number is (628) 206-8025.

What is Nathan Arboleda's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nathan Arboleda enrolled in Medicare?

Yes. Nathan Arboleda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nathan Arboleda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Arboleda reassigns Medicare benefits to 5 organizations: City & County Of San Francisco (San Francisco, CA), University Of California Sfgh Medical Group (San Francisco, CA), Regents Of The University Of California (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Arboleda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathan Arboleda was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.