Antonio Carbayo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G79962 Issued in CA

Practice address

1911 N Broadway
Santa Ana, CA 92706-2609

Phone

(714) 667-6900

Fax

(714) 667-6116

NPI assigned

Jul 3, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of California, Irvine, California College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Antonio Carbayo MD a Medical Corporation

  • Primary Care Clinic/Center
  • Santa Ana, CA
  • NPI 1467725846
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1033149356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062609",
            "telephone_number": "714-667-6900",
            "fax_number": "714-667-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062609",
            "telephone_number": "714-667-6900",
            "fax_number": "714-667-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBAYO",
        "first_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G79962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G799620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Michael Caradonna
• Garrenandrew Silva Caraig
• Florinda Carbajal
• Isabelle Rae Carbajal
• Steffany Carballo
• Nestor Carcache
• Consuelo Carcel, RN
• Sara Eunice Cardenas Arriaga, MPH, RDN
• Jessica Cardenas
• Jose Luis Cardenas, DDS

• Family Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.