DR. CARLO GIANNINO GARIBALDI (NPI# 1083745178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083745178 |
| Entity Type | Individual |
| Full Name | DR. CARLO GIANNINO GARIBALDI |
| Credential | D.O |
| Practice Address |
12980 Frederick St Ste A Moreno Valley CA 92553-5623 |
| Mailing Address |
12980 Frederick St Ste A Womens Care Moreno Valley CA 92553-5623 |
| Practice Telephone | 9513542229 |
| Practice Fax Number | 9513542230 |
| Mailing Telephone | 9519240108 |
| Mailing Fax Number | 9519244776 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2014-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 20A9267 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0083640 | 05 | |
| CA | GR0083641 | 05 | |
| CA | 00AX92670 | 05 | |
| CA | LICENSE | 20A9267 | 01 |
| CA | DEA | BG9524489 | 01 |
| Street Address |
12980 FREDERICK ST STE A |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-5623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963321 | Jay Kyung Lee | Specialist | 12980 Frederick St, Ste A, Moreno Valley, CA 92553-5263 | 2005-06-27 |
| 1699194126 | Stanley H. Schwartz Md Inc | Non-Pharmacy Dispensing Site | 12980 Frederick St, Suite I, Moreno Valley, CA 92553-5263 | 2014-04-11 |
| 1053688945 | Yogendra B Patel,md,inc | Internal Medicine | 12980 Frederick St, Suite J, Moreno Valley, CA 92553-5263 | 2011-11-21 |
| 1659687499 | Derrick Hull | Nurse Practitioner | 12980 Frederick St, Suite I, Moreno Valley, CA 92553-5263 | 2010-08-30 |
| 1316117781 | Careone Laboratory, LLC | Clinical Medical Laboratory | 12980 Frederick St, Suite D, Moreno Valley, CA 92553-5263 | 2008-03-02 |
| 1205952959 | Margery Ulema Chirwa | Family Medicine | 12980 Frederick St, Suite C, Moreno Valley, CA 92553-5263 | 2007-03-22 |
| 1134277569 | Antonio A. Tan | Internal Medicine | 12980 Frederick St, Suite D, Moreno Valley, CA 92553-5263 | 2007-01-08 |
| 1003870676 | Antonio A. Tan, Md, Professional Corporation | Clinic/Center | 12980 Frederick St, Suite D, Moreno Valley, CA 92553-5263 | 2006-04-12 |
| 1154382216 | Angela Onosolabomi Sojobi | Midwife | 12980 Frederick St, Suite A, Moreno Valley, CA 92553-5263 | 2006-03-29 |
| 1922067081 | Stanley H Schwartz | Internal Medicine | 12980 Frederick St, Suite I, Moreno Valley, CA 92553-5263 | 2006-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023402286 | Jay Kyung Lee Md Apc | Obstetrics & Gynecology | 12980 Frederick St Ste A, Moreno Valley, CA 92553-5263 | 2015-03-26 |
| 1972824118 | Visith Prin Md A Professional Corp | Obstetrics & Gynecology | 11441 Heacock St Ste B1, Moreno Valley, CA 92557-7907 | 2010-06-22 |
| 1013901552 | Visith Priromprintr | Obstetrics & Gynecology | 11441 Heacock St, Suite B1, Moreno Valley, CA 92557-7907 | 2005-09-09 |
| 1518950377 | Sudhakar Dixit | Obstetrics & Gynecology | 24060 Fir Ave, Moreno Valley, CA 92553-2841 | 2005-08-26 |
| 1821081647 | Friendly Ob Gyn Medical Group Inc | Obstetrics & Gynecology | 12810 Heacock St Ste B105, Moreno Valley, CA 92553-3171 | 2005-08-26 |
| 1669853644 | Chamika Monique Miles | Obstetrics & Gynecology | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2015-06-15 |
| 1881072346 | Canty Wang | Obstetrics & Gynecology | 26520 Cactus Ave, Moreno Valley, CA 92555 | 2015-05-15 |
| 1578958047 | Aspen Medical Group, Inc. | Obstetrics & Gynecology | 11441 Heacock St, Suite B-1, Moreno Valley, CA 92557-7907 | 2015-04-01 |
| 1184916959 | Irena Cabrera | Obstetrics & Gynecology | 26520 Cactus Ave, Moreno Valley, CA 92555 | 2011-05-11 |
| 1881872851 | Diwata Hope Abeleda Bose | Obstetrics & Gynecology | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2008-02-01 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.