Eduardo Carrera, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

206180 Issued in CA

Practice address

11210 Corte Playa Corona
San Diego, CA 92124-4134

Phone

(858) 495-1713

NPI assigned

Jun 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Eduardo C Padilla Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1013402445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11210 CORTE PLAYA CORONA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921244134",
            "telephone_number": "858-495-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11210 CORTE PLAYA CORONA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921244134",
            "telephone_number": "858-495-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA",
        "first_name": "EDUARDO",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "206180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDUARDO",
            "last_name": "PADILLA",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jose Castro Carreon Jr.
• Miguel A Carreon
• Alejandro Carrera
• Carlos Jose Carrera, M.D.
• Daniel Carrera, SFIDC
• Jasmine Taloma Carrera
• Jonas Carrera, CPSS
• Mariana Carrera
• Melissa Amber Carrera, CPT1
• Marlen Carreto Jimenez

• Licensed Vocational Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.