John R Carlson, M.D

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G40653 Issued in CA

Practice address

1083 Los Palos Dr
Salinas, CA 93901-3916

Phone

(831) 771-1456

Fax

(831) 783-3124

NPI assigned

Jul 7, 2005

Last updated

Aug 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Los Palos Gastroenterology Inc

  • Gastroenterology Physician
  • Salinas, CA
  • NPI 1851530646
  NPD Authorized official
• Los Palos Gastroenterology Specialists Inc

  • Gastroenterology Physician
  • Salinas, CA
  • NPI 1538534946
  NPD (past)
• Salinas Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Salinas, CA
  • NPI 1154328243
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1164429965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 LOS PALOS DR",
            "address_2": "B",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013916",
            "telephone_number": "831-771-1456",
            "fax_number": "831-783-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 LOS PALOS DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013916",
            "telephone_number": "831-771-1456",
            "fax_number": "831-783-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G40653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00G406531",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "AW372Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Cardone
• Care Medical, a California Corporation
• Rosa Careaga
• Danyelle Cariaga
• Virginia J Carlos
• Steven Randall Carlson, M.D.
• Mark Joseph Carman, ASW
• Xavier Yanzel Carmona-Hernandez
• Kimberly Angelica Carmona
• Marilyn Carmona

• Gastroenterology Physician in Salinas, CA
• Providers in Salinas, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.

Verify at the official NPI Registry.