Carlota Cruz Nepomuceno, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C50727 Issued in CA

Practice address

1441 Liberty St
Redding, CA 96001-0848

Phone

(530) 226-1721

Fax

(530) 224-2742

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carlota.nepomuceno.d1.p3@direct.smmg.nextgenshare.com

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.

• Nepomuceno Hospital Group Inc

  • Family Medicine Physician
  • Redding, CA
  • NPI 1710334677
  Medicare reassignment NPD
• Docs Medical Group Inc

  • Gastroenterology Physician
  • Redding, CA
  • NPI 1063457620
  NPD (past)
• Pacific Health Care Group Inc

  • Internal Medicine Physician
  • Redding, CA
  • NPI 1245468339
  NPD (past)
• Paradise Medical Enterprises

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1790819282
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1316067622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 LIBERTY ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010848",
            "telephone_number": "530-226-1721",
            "fax_number": "530-224-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 LIBERTY ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010848",
            "telephone_number": "530-226-1721",
            "fax_number": "530-224-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPOMUCENO",
        "first_name": "CARLOTA",
        "middle_name": "CRUZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C50727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0094270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Nelson
• Michael David Nelson, D.D.S.
• Natalie Nelson, M.D.
• Robin Nelson
• Nepomuceno Hospital Group Inc
• John Elazegui Nepomuceno, MD
• Nepomuceno, MD, Inc.
• Will Nesbitt
• Netanya Mullen DO Inc
• Phylliss M. Nettesheim, LCSW

• Family Medicine Physician in Redding, CA
• Providers in Redding, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.