CARLOS JOSE CARRERA (NPI# 1417050345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417050345 |
| Entity Type | Individual |
| Full Name | CARLOS JOSE CARRERA |
| Credential | M.D. |
| Practice Address |
Ucsd Medical Center 200 West Arbor Dr, Mc 8201 San Diego CA 92103-8201 |
| Mailing Address |
3855 Health Sciences Dr Moores Ucsd Cancer Center 0698 La Jolla CA 92093-0698 |
| Practice Telephone | 8585345407 |
| Practice Fax Number | 6195433183 |
| Mailing Telephone | 8585345407 |
| Mailing Fax Number | 8588225383 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2010-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | G33363 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
G33363 | CA | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
G33363 | CA | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
G33363 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G333630 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316064264 | Carlos Carrera | Physical Therapist | 130 W Route 66 Ste 108, Glendora, CA 91740-6250 | 2007-03-24 |
| 1679579213 | Carlos J Carrera | Psychiatry & Neurology | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2005-06-27 |
| 1790279701 | Carlos Felix Carrera Jr. | Pharmacist | 13725 Northwest Blvd Ste 130, Corpus Christi, TX 78410-5123 | 2018-06-22 |
| 1891811162 | Carlos Raul Carrera | Rehabilitation Practitioner | 160 S 7th Ave, La Puente, CA 91746-3211 | 2007-03-21 |
| Street Address |
UCSD MEDICAL CENTER 200 WEST ARBOR DR, MC 8201 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790743185 | Eustratia Michele Hubbard | Pediatrics | Ucsd Medical Center, 200 W Arbor Dr-mc 8201, San Diego, CA 92103-8201 | 2006-05-03 |
| 1952591042 | Erik B Kistler | Anesthesiology | Ucsd Medical Center, 200 West Arbor Drive, San Diego, CA 92103 | 2007-07-26 |
| 1518163799 | Tricia Santos Cavaiola | Internal Medicine | Ucsd Medical Center, 200 West Arbor Dr, San Diego, CA 92103 | 2007-06-25 |
| 1295931731 | Anju Hurria | Student in an Organized Health Care Education/Training Program | Ucsd Medical Center, 200 West Arbor Dr, San Diego, CA 92103 | 2007-06-22 |
| 1467519579 | William George Hughson | Internal Medicine | Ucsd Medical Center, 200 West Arbor Drive Mc 8201, San Diego, CA 92103-8201 | 2007-01-02 |
| 1669556817 | Eliezer Masliah | Pathology | Ucsd Medical Center, 200 West Arbor Drive M/c 8201, San Diego, CA 92103-8201 | 2006-10-24 |
| 1659453108 | Ronald Jeffery Gordon | Anesthesiology | Ucsd Medical Center, 200 W. Arbor Drive Mc 8770, San Diego, CA 92103 | 2006-10-20 |
| 1275563355 | Dalia A Banks | Anesthesiology | Ucsd Medical Center, 200 West Arbor Drive Mc 0801, San Diego, CA 92103 | 2006-07-04 |
| 1770526931 | Dzung T Le | Pathology | Ucsd Medical Center, 200 West Arbor Drive Mc 8201, San Diego, CA 92103-8201 | 2006-06-14 |
| 1194766436 | David M Roth | Anesthesiology | Ucsd Medical Center, 200 West Arbor Drive Mc 0801, San Diego, CA 92103-0801 | 2006-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| 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 |
|---|---|---|---|---|
| 1013928803 | Donald R Newman | Internal Medicine | 2929 Health Center Dr, San Diego, CA 92123-2762 | 2006-08-10 |
| 1093740110 | Edward D Ball | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9001 | 2006-07-11 |
| 1477504801 | John W Adamson | Internal Medicine | 8929 University Center Ln, Suite 201, San Diego, CA 92122-1006 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497174262 | Caitlin O'neill | Internal Medicine | 1441 Eastlake Ave # Nor3470, Los Angeles, CA 90089-1029 | 2014-04-09 |
| 1093154841 | Stephen H. Embury | Internal Medicine | 108 Eagle Trace Dr, Half Moon Bay, CA 94019-2286 | 2013-06-14 |
| 1528308897 | Richard J Lewis | Internal Medicine | 902 Brockton Ln, Ventura, CA 93001-3864 | 2013-02-25 |
| 1033341672 | Abdullah Ladha | Internal Medicine | 1441 Eastlake Ave Ntt3459, Los Angeles, CA 90089-0001 | 2009-08-16 |
| 1225285547 | John Reynolds | Internal Medicine | 7719 Alverstone Ave, Los Angeles, CA 90045-1446 | 2008-08-19 |
| 1023271350 | Gallia Georgette Levy | Internal Medicine | 505 Parnassus Ave # 1286, Box 1270, San Francisco, CA 94143-2204 | 2008-07-07 |
| 1205098498 | Waheed Murad | Internal Medicine | 27433 Lovettsville Ln, Temecula, CA 92591-2542 | 2008-06-27 |
| 1659547487 | Noah Merrill Merin | Internal Medicine | 8700 Beverly Blvd # Ac1046, West Hollywood, CA 90048 | 2008-05-01 |
| 1609918556 | Michaela Liedtke | Internal Medicine | 875 Blake Wilbur, Stanford, CA 94305 | 2007-02-13 |
| 1790827640 | Jason Gotlib | Internal Medicine | 875 Blake Wilbur Dr Rm 2327b, Palo Alto, CA 94304-2205 | 2007-02-13 |
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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.