Individual provider Active NPI

Carlos Luarca, P.A.-C

  • Medical Physician Assistant
  • Inglewood, CA
National Provider Identifier
1235174780
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
A12860 Issued in CA
Practice address
409 S la Brea Ave
Inglewood, CA 90301-2321
Phone
(310) 673-1922
Fax
(310) 810-2186
NPI assigned
Jun 18, 2006
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X A12860 CA Primary

Addresses

Primary practice location

409 S la Brea Ave
Inglewood, CA 90301-2321

Mailing address

409 S la Brea Ave
Inglewood, CA 90301-2321
Phone (310) 673-1922

Other identifiers 1

IdentifierTypeStateIssuer
A12860OtherCALICENS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
A12860CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Urgent Medical Care PC Current Accepting new patients
Mahfouz M. Michael,M.D.,Inc. Past Accepting new patients
Mahfouz M. Michael,M.D.,Inc. Past Accepting new patients
Shiu Man Leung Physical Therapist Inc Past Accepting new patients
San Antonio Inglewood Medical Clinic Inc PastSince Apr 30, 2003 Accepting new patients

Locations

409 S La Brea Ave
Inglewood, CA 90301
Phone (310) 673-1922

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1235174780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012321",
            "telephone_number": "310-673-1922",
            "fax_number": "310-810-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012321",
            "telephone_number": "310-673-1922",
            "fax_number": "310-810-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUARCA",
        "first_name": "CARLOS",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "A12860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENS",
            "identifier": "A12860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.