Estol Taylor Carte Jr., MD

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

A22268 Issued in CA

Practice address

99 Montecillo Rd
Mob II
San Rafael, CA 94903-3308

Phone

(415) 444-2159

Fax

(415) 444-2369

NPI assigned

Nov 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1285815977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 EAGLE ROCK RD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411609",
            "telephone_number": "415-383-3164",
            "fax_number": "415-444-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MONTECILLO RD",
            "address_2": "MOB II",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033308",
            "telephone_number": "415-444-2159",
            "fax_number": "415-444-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTE",
        "first_name": "ESTOL",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "A22268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF PEDIATR",
            "identifier": "11818",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA",
            "identifier": "A22268",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "AC2019796",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Carrillo
• Julianne M Carroll, MA
• Kimberly Carroll
• Carmen Lily Carrouche, RN, CNS, PMH-NP
• Steven Cartacki, L.AC
• Amie Carter
• Jennifer Joy Carter
• Joseph John Carter, L. AC.
• Matthew Carter, MA
• Agnes Cartry

• Health Maintenance Organization in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.