ERICK F. CARCAMO A PROFESSIONAL MEDICAL CORPORATION (NPI# 1457594939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457594939 |
| Entity Type | Organization |
| Organization Name | ERICK F. CARCAMO A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
14650 Pacific Ave Baldwin Park CA 91706-5333 |
| Mailing Address |
14307 Ramona Blvd Baldwin Park CA 91706-3242 |
| Practice Telephone | 6263371360 |
| Practice Fax Number | 6263383861 |
| Mailing Telephone | 6263371360 |
| Mailing Fax Number | 6263383861 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2019-06-17 |
| Authorized Official Name | ERICK F CARCAMO (MEDICAL DOCAATOR) |
| Authorized Official Telephone | 6263371360 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ERICK F. CARCAMO MD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A53329 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A533290 | 05 | |
| CA | CLIA | 05D0906608 | 01 |
| Street Address |
14650 PACIFIC AVE |
| City | BALDWIN PARK |
| State | CA |
| Zip Code | 91706-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167062 | Clinica Del Pueblo Carcamo A Medical Corporation | Family Medicine | 14650 Pacific Ave, Baldwin Park, CA 91706-5333 | 2020-09-02 |
| 1780671735 | Erick F Carcamo | Family Medicine | 14650 Pacific Ave, Baldwin Park, CA 91706-5333 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206700 | Sistine Manor Inc | Assisted Living Facility | 12755 Torch St, Baldwin Park, CA 91706 | 2019-10-09 |
| 1891268850 | Rodriguez Cruz Dental, Inc. | Clinic/Center | 14323 Ramona Blvd., Baldwin Park, CA 91706 | 2019-01-02 |
| 1942788633 | Desiree Montoya | Counselor | 13030 Ramona Blvd Unit 65, Baldwin Park, CA 91706 | 2018-08-03 |
| 1861978215 | Cassidy Alyse Harton | Counselor | 4514 Grace Ave, Baldwin Park, CA 91706 | 2018-07-18 |
| 1881146751 | Melissa Valenzuela | Nurse Practitioner | 14362 E. Ramona Blvd, Baldwin Park, CA 91706 | 2016-10-26 |
| 1629524228 | Trosclair Seals | Counselor | 36 S Kinneola Ave, Pasad, CA 91706 | 2016-09-01 |
| 1487025854 | Janeth Estevez | Case Manager/Care Coordinator | 14123 Masline St, Baldwin Park, CA 91706 | 2015-10-12 |
| 1932579570 | Bls Dental Group | Clinic/Center | 14032 Ramona Blvd., Bladwin Park, CA 91706 | 2015-09-25 |
| 1487068748 | Prakash P. Patel D.ds Inc | Dentist | 4138 N. Maine Ave, Suite N-3, Baldwin Park, CA 91706 | 2014-06-16 |
| 1295076891 | Julia Lauria | Rehabilitation Practitioner | 11317 Rmaona Blvd., Ste.c, Irwindale, CA 91706 | 2013-03-06 |
| Find all providers in zip 91706 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558770818 | Central City Community Health Center, Inc. | General Practice | 4160 Maine Ave Ste B1b2b3, Baldwin Park, CA 91706-3304 | 2014-08-11 |
| 1093894552 | Amado David Mandani | General Practice | 14338 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2006-11-03 |
| 1205260627 | Baldwin Park Medical Center Inc | General Practice | 14362 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2013-08-22 |
| 1528348901 | Herman Carrillo Md | General Practice | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2011-08-17 |
| 1124214341 | Herman Carrillo,m.d. & Marvin Urbina Md Proffesional Corporation | General Practice | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2007-09-20 |
| 1730250770 | Jennifer Damiana Redona | General Practice | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | BALDWIN PARK |
| Zip Code | 91706 |
Please comment or provide details below to improve the information on ERICK F. CARCAMO A PROFESSIONAL MEDICAL CORPORATION.
| 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.