Individual provider Active NPI

James Bernard Carry II, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • La Mesa, CA
National Provider Identifier
1285693424
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G-39979 Issued in CA
Practice address
5555 Grossmont Center Drive
La Mesa, CA 91944-0158
Phone
(619) 740-4492
Fax
(619) 740-4418
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X G39979 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G39979 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G-39979 CA Primary

Addresses

Primary practice location

5555 Grossmont Center Drive
La Mesa, CA 91944-0158

Mailing address

P.O. Box 2877
La Mesa, CA 91943-2877
Phone (619) 740-4941

Other identifiers 1

IdentifierTypeStateIssuer
WG399790OtherCADHS PPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
73.46
Improvement activities
40
Cost
73.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39979CAMDGeneral Practice Dentistry
G-39979CAMDAnatomic Pathology & Clinical Pathology Physician
G39979CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grossmont Hospital Corporation PastSince Feb 10, 2004 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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1285693424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2877",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919432877",
            "telephone_number": "619-740-4941",
            "fax_number": "619-740-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DRIVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919440158",
            "telephone_number": "619-740-4492",
            "fax_number": "619-740-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRY",
        "first_name": "JAMES",
        "middle_name": "BERNARD",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "G39979",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G39979",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G-39979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS PPIN",
            "identifier": "WG399790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.