Active NPI
Gertrude Sandra Carter, M.D.
- Pediatrics Physician
- Orange, CA
National Provider Identifier
1154466621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C37374
- Practice address
- 1120 W la Veta Ave
2ND Floor
Orange, CA 92868-4231 - Phone
- (714) 347-3261
- Fax
- (714) 246-8648
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C37374 | CA | Primary |
Addresses
Primary practice location
1120 W la Veta Ave
2ND Floor
Orange, CA 92868-4231
Mailing address
5366 Valley View Rd
Rancho Palos Verdes, CA 90275-5089
Phone (310) 872-7287
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C37374 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154466621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5366 VALLEY VIEW RD",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902755089",
"telephone_number": "310-872-7287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 W LA VETA AVE",
"address_2": "2ND FLOOR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684231",
"telephone_number": "714-347-3261",
"fax_number": "714-246-8648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "GERTRUDE",
"middle_name": "SANDRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C37374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.