MARIO CARCAMO MD INC


Address: 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026
Phone: 9516848020

MARIO CARCAMO MD INC (NPI# 1821271412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821271412
Entity Type Organization
Organization Name MARIO CARCAMO MD INC
Practice Address 4440 Brockton Ave Ste 420
Riverside
CA 92501-4026
Practice Telephone 9516848020
Practice Fax Number 9516848090
Mailing Telephone 9516848020
Mailing Fax Number 9516848090
Enumeration Date 2007-12-06
Last Update Date 2007-12-06
Authorized Official Name MARIO P CARCAMO (CEO)
Authorized Official Telephone 9516848020
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist A35551 CA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0102440 05

Office Location

Street Address 4440 BROCKTON AVE STE 420
City RIVERSIDE
State CA
Zip Code 92501-4026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801312392 Elizabeth Coleman Nurse Practitioner 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026 2017-08-16
1518340751 Jeanette Faderan Baldonado Registered Nurse 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026 2015-07-07
1780066480 Naga Ramya Chowdary Pediatrics 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026 2015-06-18
1851680078 Kimberly Joy Buck Nurse Practitioner 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026 2011-03-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700437605 Mary Horvatin Technician 1811 Rivera Strret, Riverside, CA 92501 2019-09-23
1366905473 Timothy Daniel Collins Student in an Organized Health Care Education/Training Program Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 2019-04-08
1346709672 Lourdes Adame Student in an Organized Health Care Education/Training Program 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 2019-03-16
1740759067 Kristina Ferris-celosse Counselor 2452 Wilshire St., Riverside, CA 92501 2018-11-15
1750888095 Arunmozhi Aravagiri Student in an Organized Health Care Education/Training Program Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 2018-04-12
1720585847 Alan Huynh Student in an Organized Health Care Education/Training Program 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 2018-04-06
1538664834 Wilson Paul Frasca Student in an Organized Health Care Education/Training Program 4445 Magnolia Avenue, Riverside, CA 92501 2018-03-28
1851896575 Geethu Gopinathan Nair Student in an Organized Health Care Education/Training Program Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 2018-03-26
1316465560 Thilini Anne Abeygunaratne Marriage & Family Therapist 1950 Market Street, Riverside, CA 92501 2017-09-07
1194257410 Melissa Chitwood Assistant Behavior Analyst 3078 Cedar St., Riverside, CA 92501 2017-03-28
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699383661 Transgender Health and Wellness Center Specialist 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 2020-07-16
1295350668 Bette Graff Specialist 4148 10th St, Riverside, CA 92501-3110 2020-06-11
1295275808 Eastern Comprehensive Medical Services Specialist 106 Sheephill Rd, Riverside, CT 06878-1120 2017-03-01
1245778331 Lynn Nevatt Specialist 3833 Jurupa Ave, Riverside, CA 92506-2221 2017-02-08
1093264145 Nephrology Associates Medical Group, Inc. Specialist 3660 Park Sierra Dr Ste 203, Riverside, CA 92505-3071 2016-09-30
1639625247 Dana Keim Specialist 6864 Indiana Ave Ste 104a, Riverside, CA 92506 2016-09-01
1720401615 Matthew Martinez Specialist 8205 Coleman St, Riverside, CA 92504-3107 2014-01-28
1649512575 Michael C Luciano Specialist 3120 Chicago Ave, Suite #170, Riverside, CA 92507-3490 2013-03-18
1508110461 Luis Angel Calvillo Jr. Specialist 246 Plews Ct, Riverside, CA 92507-1100 2012-10-30
1639474513 Jeanne Dunkel Specialist 3529 Hoover St, Riverside, CA 92504-3907 2011-01-24
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92501

Improve Information

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Dataset Information

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.

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