Individual provider Active NPI

Carolina Angelica Wade

  • Rehabilitation Practitioner
  • North Highlands, CA
National Provider Identifier
1225750847
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
1225750847 Issued in CA
Practice address
3628 Madison Ave Ste 6
North Highlands, CA 95660-5070
Phone
(916) 388-3231
NPI assigned
Sep 12, 2022
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X 1225750847 CA Primary

Addresses

Primary practice location

3628 Madison Ave Ste 6
North Highlands, CA 95660-5070

Mailing address

3628 Madison Ave Ste 6
North Highlands, CA 95660-5070
Phone (916) 388-3231

Other names 1

  • Carolina Angelica Girdwood Former name

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

LicenseStateTypeSpecialty
1225750847CAMDRehabilitation Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1225750847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 MADISON AVE STE 6",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605070",
            "telephone_number": "916-388-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 MADISON AVE STE 6",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605070",
            "telephone_number": "916-388-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "CAROLINA",
        "middle_name": "ANGELICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "1225750847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINA",
            "last_name": "GIRDWOOD",
            "middle_name": "ANGELICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Highlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.