Active NPI
Philip Maxwell Caro
- Registered Nurse
- Pasadena, CA
National Provider Identifier
1124858014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95316254
- Practice address
- 100 S Los Robles Ave # 501
Pasadena, CA 91101-2453 - Phone
- (626) 564-3016
- NPI assigned
- Aug 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 984022 | TX | |
| Registered Nurse | 163W00000X | 95316254 | CA | Primary |
Addresses
Primary practice location
100 S Los Robles Ave # 501
Pasadena, CA 91101-2453
Mailing address
1130 Huntington Dr Unit B
South Pasadena, CA 91030-4571
Phone (615) 397-0152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95316254 | CA | MD | Registered Nurse |
| 984022 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1124858014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 HUNTINGTON DR UNIT B",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910304571",
"telephone_number": "615-397-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S LOS ROBLES AVE # 501",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012453",
"telephone_number": "626-564-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARO",
"first_name": "PHILIP",
"middle_name": "MAXWELL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "984022",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95316254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.