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MR. KEVIN ARCHULETA LCSW
NPI 1154862571
Social Worker - Clinical in Sacramento, CA

Active since March 17, 2017PECOS Enrolled
2345 FAIR OAKS BLVD, SACRAMENTO, CA 95825(916) 480-6938(916) 480-6938 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2022, Mar 17, 2017 (2 updates tracked since 2017).

About Mr. Kevin Archuleta Lcsw NPPES

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

MR. KEVIN ARCHULETA LCSW (NPI 1154862571) is an individual clinical provider in Sacramento, California, licensed in California (75342) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154862571
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KEVIN ARCHULETACredential: LCSW
Location Address2345 FAIR OAKS BLVDSacramento, CA 95825-4708
Mailing Address2345 Fair Oaks BlvdSacramento, CA 95825-4708 · (916) 480-6938 · Fax (916) 480-6938
Phone(916) 480-6938
Fax(916) 480-6938
Sole ProprietorNo
Enumeration DateMarch 17, 2017
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
✔ NPI 1154862571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 75342
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2345 FAIR OAKS BLVD, Sacramento, CA 95825
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Archuleta Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kevin Archuleta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
39 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 95825 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
$0.00 typical visit price
range $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 20

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

DR. BRANDON LOUGHRIDGE MD
Family Medicine (Adult Medicine)
2345 FAIR OAKS BLVD
SACRAMENTO, CA 95825
Sacramento County (916) 973-5000
JANIE M YU
Pharmacist
2345 FAIR OAKS BLVD
SACRAMENTO, CA 95825
Sacramento County (916) 480-6579
FATEMEH YOUSEFI D.O.
Family Medicine
2345 FAIR OAKS BLVD
SACRAMENTO, CA 95825
Sacramento County (916) 973-5000
VALERIE JAROENPUNTARUK MD
Internal Medicine
2345 FAIR OAKS BLVD
SACRAMENTO, CA 95825
Sacramento County (312) 826-4563
RONALD VO PHARMD
Pharmacist
2345 FAIR OAKS BLVD
SACRAMENTO, CA 95825
Sacramento County (916) 480-6894
NANCY LOU GOODYEAR NP
Nurse Practitioner (Adult Health)
2345 FAIR OAKS BLVD
SACRAMENTO, CA 95825
Sacramento County (916) 973-5243
JOANNA QUACH PHARMD
Pharmacist (Ambulatory Care)
2345 FAIR OAKS BLVD
SACRAMENTO, CA 95825
Sacramento County (916) 480-6894
LEILA INTING MUNOZ PHARMD
Pharmacist
2345 FAIR OAKS BLVD
SACRAMENTO, CA 95825
Sacramento County (916) 480-7054

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 Kevin Archuleta's NPI number?

The NPI number for Kevin Archuleta is 1154862571. It was assigned to this individual provider in the NPPES registry on March 17, 2017.

Where is Kevin Archuleta located?

Kevin Archuleta practices at 2345 Fair Oaks Blvd, Sacramento, CA 95825. The listed phone number is (916) 480-6938.

What is Kevin Archuleta's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kevin Archuleta enrolled in Medicare?

Yes. Kevin Archuleta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Archuleta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Archuleta reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Kevin Archuleta'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 Kevin Archuleta was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.