Active NPI
Pete Carrasco Jr., D.P.M.
- Podiatrist
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E-3608
- Practice address
- 7196 Sunnyside PL
Rancho Cucamonga, CA 91739-5995 - Phone
- (951) 212-6661
- Fax
- (909) 987-3292
- NPI assigned
- Mar 24, 2006
- Last updated
- Mar 19, 2015
- 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 | E-3608 | CA | Primary |
Addresses
Primary practice location
7196 Sunnyside PL
Rancho Cucamonga, CA 91739-5995
Mailing address
PO Box 4347
Rancho Cucamonga, CA 91729-4347
Phone (951) 212-6661
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.03 of 100
- Quality
- 78.11
- Improvement activities
- 40
- Cost
- 33.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-3608 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrasco Podiatry Corporation | Podiatrist | Current | Accepting new patients |
| Wound Healing Care Specialists, Inc. | Podiatrist | Current | Accepting new patients |
| Foothills Psychological Services, Inc. | Current | Accepting new patients | |
| Providence Podiatry Care, Inc | Current | Accepting new patients | |
| Rancho Wound Care Center, PC | Podiatrist | Current | Accepting new patients |
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Wound Healing Care Specialists TN PC | Past | Accepting new patients | |
| Wound Healing Care Specialists KS Inc | Past | Accepting new patients | |
| Convalescent Podiatry Care | Podiatrist | Past | Accepting new patients |
| James F Eggold | Podiatrist | Past | Accepting new patients |
| Wound Healing Care Specialists Wa PC | Past | Accepting new patients |
Locations
8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone (818) 882-0009
3536 Concours
Ste 225
Ontario, CA 91764
Phone (314) 699-9181
1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791
10621 Church St
Ste 120
Rch Cucamonga, CA 91730
Phone (909) 944-0481
11343 Base Line Rd
Rch Cucamonga, CA 91730
25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321
15206 Parthenia St
Sepulveda, CA 91343
473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
954 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 946-4222
15201 Eleventh St
Ste 300
Victorville, CA 92395
Phone (760) 245-1640
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Rancho Cucamonga, CA
- NPI 1043339260
-
dba Rancho Wound Care and Podiatry Center
- Surgery Physician
- Rancho Cucamonga, CA
- NPI 1396548236
Podiatrist
-
dba Wound Healing Care Specialists California
- Surgery Physician
- Ontario, CA
- NPI 1306317961
Podiatrist
-
- Psychologist
- Upland, CA
- NPI 1336121888
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hollywood, CA
- NPI 1710102009
-
- Foot & Ankle Surgery Podiatrist
- San Bernardino, CA
- NPI 1376202986
-
- Surgery Physician
- Topeka, KS
- NPI 1487546248
-
dba Wound Healing Care Specialists Tennessee
- Surgery Physician
- Memphis, TN
- NPI 1043013972
-
dba Wound Healing Care Specialists Washington
- Surgery Physician
- Seattle, WA
- NPI 1952280273
-
dba Wound Healing Care Specialists Colorado
- Surgery Physician
- Denver, CO
- NPI 1891522124
-
- Community Health Clinic/Center
- North Hills, CA
- NPI 1710370747
-
- Podiatrist
- Lakewood, CA
- NPI 1568576528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1073573127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4347",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917294347",
"telephone_number": "951-212-6661",
"fax_number": "909-899-0258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7196 SUNNYSIDE PL",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917395995",
"telephone_number": "951-212-6661",
"fax_number": "909-987-3292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRASCO",
"first_name": "PETE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E-3608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.