Fernando Carlo, MD
Individual provider Active NPI Emergency Medicine Physician · Torrance, CA
NPI 1154783108 · NPPES record last updated Nov 3, 2021
Key facts
- NPI
- 1154783108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- A153024 (CA)
- Practice address
- 1000 W Carson St
Box 21
Torrance, CA 90502-2004 - Phone
- (310) 222-3501
- NPI assigned
- Mar 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Florida College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vep Hutchinson Emergency Medical Group LLC
Usacs Community Emergency Services of Colorado Inc.
Practice addresses (Care Compare)
401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2290
7000 E Hampden Ave
Denver, CO 80224-3012
Phone (330) 925-4199
9949 S Oswego St
Parker, CO 80134-3753
Phone (303) 925-4700
Hospital & facility affiliations
- AdventHealth Littleton
- AdventHealth Porter
- Centura St. Catherine-Dodge City
- Centura Health-St Anthony Hospital
- Adventhealth Castle Rock
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.65 of 100
- Quality
- 86.65
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 91.15
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231121003102 | CO | Practitioner - Emergency Medicine | 7113266123 | Reassigns benefits to 4 organizations |
| I20241206000877 | KS | Practitioner - Emergency Medicine | 7113266123 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A153024 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs of Colorado Inc | Emergency Medicine | Current |
Accepting new patients |
| Usacs Observation Medicine Services of Colorado Inc. | Current |
Accepting new patients | |
| Usacs of Colorado Inc | Emergency Medicine | Current |
Accepting new patients |
| Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Vep Hutchinson Emergency Medical Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Usacs of Colorado, Inc | Emergency Medicine | Current | Accepting new patients |
| Usacs Observation Medicine Services of Colorado Inc. | Emergency Medicine | Current |
Accepting new patients |
| Usacs of Colorado Inc | Emergency Medicine | Current |
Accepting new patients |
| Harbor-UCLA Medical Center | Past | Accepting new patients |
Locations
16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560
7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400
401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A153024 | CA | Yes |
Addresses
Primary practice location
1000 W Carson St
Box 21
Torrance, CA 90502-2004
Mailing address
1000 W Carson St
Box 21
Torrance, CA 90502-2004
Phone (310) 222-3501
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Torrance, CA
- Caring Heart Companion Services, L.L.C.
- Caring Hearts Agency LLC
- Caring Sisters Hospice & Palliative Care LLC
- Carl R. Wagreich, D.P.M., a Professional Corporation
- Cathryn Carleton
- Carlos a. Smith, M.D, Professional Corporation
- Carlos F Garcia DDS Inc
- Carlos Jordan Manzano MD Inc
- Alexis Michelle Carlos
- Cathleen A Carlson
All providers in Torrance, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.