Antonio Carbonell Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 21259 Issued in CA

Practice address

605 Oak St
Red Bluff, CA 96080-3337

Phone

(530) 528-0808

Fax

(530) 528-8526

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1990

Medicare assignment

May accept Medicare assignment

Group practices

County of TehamaGroup PAC ID 2668433269, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJECCA/Endpoint/GJECCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Tehama

  • Rural Health Clinic/Center
  • Red Bluff, CA
  • NPI 1043427388
  Care Compare group
• New Day Family Counseling Center, Inc.

  • Marriage & Family Therapist
  • Yuba City, CA
  • NPI 1952837247
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003967530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 OAK ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803337",
            "telephone_number": "530-528-0808",
            "fax_number": "530-528-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OAK ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803337",
            "telephone_number": "530-528-0808",
            "fax_number": "530-528-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONELL",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 21259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NO.",
            "identifier": "DC 21259",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn Jaquess Callaway
• Nestor Camarillo
• Carrie Ann Cannaday, DAC
• Nalani Sung Capistrand
• Andrea Carbajal-Quintero
• Yolanda Dawn Cardenas, LVN II
• Chris D Carey, MHRS
• Suzanne Kathleen Carpenter, ASW
• Giselle Carrillo
• Ruby Fayette Cary

• Chiropractor in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.