Individual provider Active NPI

Carin Taormino Eldridge, M.D.

  • Pediatrics Physician
  • Truckee, CA
National Provider Identifier
1265889588
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
58403 Issued in AZ
Practice address
10956 Donner Pass Rd FL 3
Truckee, CA 96161-4861
Phone
(530) 587-3523
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 58403 AZ Primary

Addresses

Primary practice location

10956 Donner Pass Rd FL 3
Truckee, CA 96161-4861

Mailing address

10956 Donner Pass Rd FL 3
Truckee, CA 96161-4861
Phone (530) 304-1665

Other practice location 1

1628 N Alvernon Way
Tucson, AZ 85712-3321
Phone (520) 325-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20171116001743 UT Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0840556338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58403AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Pediatrics PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1265889588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD FL 3",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-304-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD FL 3",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-587-3523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1628 N Alvernon Way",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857123321",
            "country_code": "US",
            "telephone_number": "520-325-8000",
            "fax_number": "520-325-8616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "CARIN",
        "middle_name": "TAORMINO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "58403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.