Active NPI
Michael Andres Caruso, M.D.
- Family Medicine Physician
- Loma Linda, CA
National Provider Identifier
1235220864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A86858
- Practice address
- 24785 Stewart St Ste 111
Loma Linda, CA 92350-1721 - Phone
- (909) 558-4594
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A86858 | CA | Primary |
Addresses
Primary practice location
24785 Stewart St Ste 111
Loma Linda, CA 92350-1721
Mailing address
10969 Tolls LN
Loma Linda, CA 92354-6532
Phone (909) 796-9014
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86858 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1235220864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10969 TOLLS LN",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923546532",
"telephone_number": "909-796-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24785 STEWART ST STE 111",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923501721",
"telephone_number": "909-558-4594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARUSO",
"first_name": "MICHAEL",
"middle_name": "ANDRES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A86858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.