DENEEN C DICARLO MD INC A PROF CORP (NPI# 1104072917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104072917 |
| Entity Type | Organization |
| Organization Name | DENEEN C DICARLO MD INC A PROF CORP |
| Practice Address |
901 Oak Park Blvd Suite 101 Pismo Beach CA 93449-3408 |
| Practice Telephone | 8054898039 |
| Mailing Telephone | 8054898039 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2012-01-13 |
| Authorized Official Name | DR. DENEEN C DICARLO (RHEUMATOLOGIST) |
| Authorized Official Telephone | 7184907013 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
A98771 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
901 OAK PARK BLVD SUITE 101 |
| City | PISMO BEACH |
| State | CA |
| Zip Code | 93449-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699758565 | Ventana Health and Medical Center | Family Medicine | 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3216 | 2005-11-23 |
| 1538592167 | Paul Lyle Manosar | Physical Therapist | 901 Oak Park Blvd, Suite 102, Pismo Beach, CA 93449-3408 | 2013-08-19 |
| 1215376496 | First Choice Physician Partners | Internal Medicine | 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3408 | 2013-06-20 |
| 1922357003 | Ethan Jeremy Breen | Family Medicine | 901 Oak Park Blvd, Pismo Beach, CA 93449-3408 | 2012-09-05 |
| 1598091068 | Scott Robertson Md Inc | Family Medicine | 901 Oak Park Blvd, Suite 100, Pismo Beach, CA 93449-3408 | 2009-10-19 |
| 1285732826 | K. George Sachariah | Internal Medicine | 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3408 | 2006-09-20 |
| 1740392521 | Paritosh Patel | Dentist | 901 Oak Park Blvd, Suite 103, Pismo Beach, CA 93449 | 2006-08-31 |
| 1225042120 | Traci R. Fernandes, Dds, Inc | Dentist | 901 Oak Park Blvd, Suite 203, Pismo Beach, CA 93449-3216 | 2006-07-28 |
| 1619995545 | Mariella Alvarellos | Family Medicine | 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3408 | 2006-07-18 |
| 1104861327 | Makenzie Alyce Heisdorf | Physical Therapist | 901 Oak Park Blvd, Suite 102, Pismo Beach, CA 93449-3408 | 2006-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688795 | Kristyn Collins | Psychologist | 130 James Way, #150, Pismo Beach, CA 93449 | 2018-05-07 |
| 1245750140 | Judy Burke Morabito | Pedorthist | 801 Dolliver Street, Pismo Beach, CA 93449 | 2017-06-21 |
| 1295274413 | The San Luis Obispo Hearing Center, Inc | Specialist | 901 Oak Park Blvd Suite 202, Pismo Beach, CA 93449 | 2017-02-21 |
| 1649713645 | Sarah Victoria Stroemel | Counselor | 172 Stimson Ave, #3, Pismo Beach, CA 93449 | 2016-11-22 |
| 1497133631 | Byron N Collier | Podiatrist | 911 Oak Park Blvd Ste 106, Pismo Beach, CA 93449 | 2015-05-07 |
| 1982973319 | Mariana Dintyala | Nurse Practitioner | Avery Healthcare Sevices, 230 Coral Ct, Pismo Beach, CA 93449 | 2011-12-13 |
| 1538444575 | Chelsea Hunter | Student in an Organized Health Care Education/Training Program | 448 Foothill Rd, Pismo Beach, CA 93449 | 2011-10-20 |
| 1952621492 | Briana Leigh Schiro | Counselor | 314 El Portal Dr., Suite 100, Pismo Beach, CA 93449 | 2010-06-07 |
| 1134365315 | Robert Lee Hix | Licensed Psychiatric Technician | 201 Five Cities Dr., 123, Pismo Beach, CA 93449 | 2008-12-18 |
| 1689886764 | Active Physical Therapy Inc | Physical Therapist | 1851 Shell Beach Rd, Suite B, Shell Beach, CA 93449 | 2007-05-03 |
| Find all providers in zip 93449 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804572 | Shariar Cohen Md Corp | Internal Medicine | 566 Saint Charles Dr, Thousand Oaks, CA 91360-3953 | 2020-09-01 |
| 1538799309 | Ajay Nirula | Internal Medicine | 5171 Meadows Del Mar, San Diego, CA 92130-4855 | 2020-01-21 |
| 1659842532 | Harry Edward Gruber | Internal Medicine | 4511 Rancho Del Mar Trl, San Diego, CA 92130-5207 | 2018-12-17 |
| 1124596556 | Arthritis and Rheumatic Care Clinic, Inc. | Internal Medicine | 1401 N Palm Canyon Dr Ste 103, Palm Springs, CA 92262-4434 | 2018-11-03 |
| 1235629338 | Carewell Medical Group Inc | Internal Medicine | 18419 Us Highway 18 Ste 1, Apple Valley, CA 92307-2333 | 2018-05-14 |
| 1336641992 | Prohealth Partners A Medical Group | Internal Medicine | 26700 Towne Centre Dr Ste 165, Foothill Ranch, CA 92610-2845 | 2018-02-28 |
| 1699291765 | Peter James Lloyd Md Inc | Internal Medicine | 2251 Montgomery Ave, Cardiff, CA 92007-1913 | 2017-08-20 |
| 1285155010 | David Alexandre Chetrit | Internal Medicine | 757 Westwood Plaza, Rheumatology, Los Angeles, CA 90095-6130 | 2017-07-01 |
| 1447791181 | Ross Stephen Howard | Internal Medicine | 936 Harbor View Dr, San Diego, CA 92106-2438 | 2017-03-14 |
| 1295286714 | Tharaknath Rao | Internal Medicine | 14767 Calle Carla, Rancho Santa Fe, CA 92067 | 2016-10-19 |
| Find all providers with the same taxonomy | ||||
| City | PISMO BEACH |
| Zip Code | 93449 |
Please comment or provide details below to improve the information on DENEEN C DICARLO MD INC A PROF CORP.
| 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.