DR. NANCY CARBALLO (NPI# 1912368838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912368838 |
| Entity Type | Individual |
| Full Name | DR. NANCY CARBALLO |
| Credential | MD |
| Practice Address |
12291 Washington Blvd 500 Whittier CA 90606-2500 |
| Mailing Address |
8504 Firestone Blvd # 242 Downey CA 90241-4926 |
| Practice Telephone | 5626982541 |
| Practice Fax Number | 5626983541 |
| Mailing Telephone | 3108933256 |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A159630 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12291 WASHINGTON BLVD 500 |
| City | WHITTIER |
| State | CA |
| Zip Code | 90606-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213067 | Teresa Bernadette Sokol | Physician Assistant | 12291 Washington Blvd, Suite 303, Whittier, CA 90606-2500 | 2005-08-25 |
| 1326508979 | Gesina Thiry | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd, Whittier, CA 90606-2500 | 2019-03-20 |
| 1427405737 | Pih Health Physicians | Family Medicine | 12291 Washington Blvd, Suite 500, Whittier, CA 90606-2500 | 2016-05-17 |
| 1013396274 | Andy B. Lee | Family Medicine | 12291 Washington Blvd, 500, Whittier, CA 90606-2500 | 2015-05-21 |
| 1326426750 | Amber Rebecca Lin | Family Medicine | 12291 Washington Blvd, Suite 500, Whittier, CA 90606 | 2015-05-18 |
| 1639558067 | Andrew Lin | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd, Whittier, CA 90606-2500 | 2015-05-18 |
| 1235517665 | Ilana Solomon | Family Medicine | 12291 Washington Blvd, Suite 301, Whittier, CA 90606-2500 | 2015-05-18 |
| 1225416654 | Misty Cool | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd, Suite 301, Whittier, CA 90606-2500 | 2015-05-18 |
| 1881008662 | Somil Piyush Viradia | Internal Medicine | 12291 Washington Blvd, Suite 500, Whittier, CA 90606-2500 | 2014-06-19 |
| 1881007813 | Neel Sunil Shah | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd, Suite 500, Whittier, CA 90606-2500 | 2014-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003385113 | Adrian Garcia | Psychologist | 10800 E. Benavon St., Whittier, CA 90606 | 2018-11-19 |
| 1013424951 | Myra Cahambing | Physical Therapy Assistant | 12411 Slauson Ave., Unit G, Whittier, CA 90606 | 2017-12-31 |
| 1639698129 | Josephine Chang | Occupational Therapist | 12411 Slanson Ave. Unit H, Whittier, CA 90606 | 2017-09-15 |
| 1265950786 | Gladys J Lucero | Specialist/Technologist | 12411 Slauson Ave Unit H, Whittier, CA 90606 | 2017-09-05 |
| 1457807059 | Edward Montero | Student in an Organized Health Care Education/Training Program | 6220 Vicki Drive, Whittier, CA 90606 | 2016-09-01 |
| 1124495734 | Valerie Rodriguez | Occupational Therapist | 12421 Slauson Ave., Suite H, Whittier, CA 90606 | 2015-08-31 |
| 1114303104 | Katherine Jones | Occupational Therapist | 12411 Slauson Avenue Unit H, Whittier, CA 90606 | 2015-08-03 |
| 1356742589 | Michael Alberto Garcia | Specialist/Technologist | 12411 Slauson Ave. Unit H, Whittier, CA 90606 | 2014-09-08 |
| 1922414721 | Jeremiah Knapp | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Fl 5, Whittier, CA 90606 | 2014-07-01 |
| 1407284193 | Editha Gutierrez | Nurse Practitioner | 12291 Washington Blvd Ste 205, Whittier, CA 90606 | 2013-10-16 |
| Find all providers in zip 90606 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619232493 | Sean William Welsh | General Practice | 7624 Painter Ave Ste 100, Whittier, CA 90602-2327 | 2012-07-09 |
| 1215178520 | Healthways Medical Group, Inc. | General Practice | 6518 Greenleaf Ave., #25, Whittier, CA 90601 | 2009-03-16 |
| 1013155365 | Herbert Katz | General Practice | 9175 La Alba Dr, Whittier, CA 90603-1223 | 2009-01-24 |
| 1881602175 | Geetha V. Gabbita | General Practice | 14568 Whittier Blvd, Whittier, CA 90605-2129 | 2006-08-03 |
| 1427016765 | Sandra Garcia Madrid | General Practice | 12462 Washington Blvd, Whittier, CA 90602-1005 | 2006-05-03 |
| 1992703912 | Shokouh Tamadon | General Practice | 15111 Whittier Blvd, Suite 102, Whittier, CA 90603-2136 | 2005-07-13 |
| 1811292022 | Geetha V. Gabbita, M.d., Inc. | General Practice | 14568 Whittier Blvd, Whittier, Whittier, CA 90605-2129 | 2011-01-19 |
| 1124208087 | Autumn Medical Clinic | General Practice | 9200 Colima Rd, Suite 207, Whittier, CA 90605-1814 | 2007-11-08 |
| 1770594640 | Sandra Madrid M D Inc | General Practice | 12462 Washington Blvd, Whittier, CA 90602-1005 | 2006-08-10 |
| 1487653531 | Dwight A David | General Practice | 15111 Whittier Blvd, Ste 102, Whittier, CA 90603-2136 | 2005-07-20 |
| Find all providers in WHITTIER | ||||
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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.