Active NPI
Thomas Anthony Carine, DPM INC
- Podiatrist
- San Jose, CA
National Provider Identifier
1053427971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E2090
- Practice address
- 2040 Forest Ave
#7
San Jose, CA 95128 - Phone
- (408) 287-5751
- Fax
- (408) 287-5750
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E2090 | CA | Primary |
Addresses
Primary practice location
2040 Forest Ave
#7
San Jose, CA 95128
Mailing address
2040 Forest Ave
#7
San Jose, CA 95128
Phone (408) 287-5751
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100824000823 | CA | Practitioner - Podiatry | 6406970771 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2090 | CA | MD | Podiatrist |
| 2090 | CA | MD | Pediatric Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas a. Carine D.P.M. Inc. a Professional Corporation | Current | Accepting new patients |
Locations
2040 Forest Ave
Ste 7
San Jose, CA 95128
Phone (408) 287-5751
Organizations & group practices 1
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.
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- San Jose, CA
- NPI 1003121039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053427971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 FOREST AVE",
"address_2": "#7",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128",
"telephone_number": "408-287-5751",
"fax_number": "408-287-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 FOREST AVE",
"address_2": "#7",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128",
"telephone_number": "408-287-5751",
"fax_number": "408-287-5750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARINE",
"first_name": "THOMAS",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DPM INC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E2090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.