Dr. Shaun Carpenter, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DR. SHAUN CARPENTER, PC

Practice address

16453 Colorado Ave
Paramount, CA 90723-5011

Phone

(985) 892-7070

Fax

(985) 892-7017

NPI assigned

May 5, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tasha Mears, RN, BSN

Title

Cao

Phone

(225) 347-4975

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003262304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16453 COLORADO AVE",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235011",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 S Soto St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900334315",
            "country_code": "US",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. SHAUN CARPENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEARS",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "225-347-4975",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Paramount, CA
• Providers in Paramount, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.