Arnett Carraby, MD
Individual provider Active NPI Ophthalmology Physician · Chula Vista, CA
NPI 1366530792 · NPPES record last updated Dec 23, 2015
Key facts
- NPI
- 1366530792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- G47836 (CA)
- Practice address
- 835 3Rd Ave Ste a
Chula Vista, CA 91911-1352 - Phone
- (619) 425-7755
- Fax
- (619) 425-9057
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- University of California, Geffen School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- California Retina Associates, LP
Practice addresses (Care Compare)
835 3Rd Ave
Suite a
Chula Vista, CA 91911-1352
Phone 6194257755257755
Hospital & facility affiliations
- El Centro Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 787 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160104001012 | CA | Practitioner - Ophthalmology | 0749218972 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47836 | CA | MD | Pharmacist |
| G47836 | CA | MD | Ophthalmology Physician |
| MD2006-0818 | NM | MD | Ophthalmology Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afsaneh Amini, O.D., a Professional Optometric Corporation | Past |
Accepting new patients | |
| Pecos Valley of New Mexico, LLC | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| El Centro Regional Medical Center | Past | Accepting new patients | |
| Arnett Carraby MD PC | Ophthalmology | Past |
Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- acarraby@retinadrs.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD.31581 | AL | |
| Ophthalmology Physician | 207W00000X | MD2006-0818 | NM | |
| Ophthalmology Physician | 207W00000X | G47836 | CA | Yes |
Addresses
Primary practice location
835 3Rd Ave Ste a
Chula Vista, CA 91911-1352
Mailing address
835 3Rd Ave Ste a
Chula Vista, CA 91911-1352
Phone (619) 425-7755
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00415488 | Other | NM | RAILROAD MEDICARE |
| 80484387 | Medicaid | NM | |
| NM002B03 | Other | NM | BCBS |
Other providers in Chula Vista, CA
- Ruben Carmona
- Katie L Carnot
- Caroll Toledo Nader M D a Prof Copr
- Jenna Marie Carpenter
- Carpio Dental Corporation
- Samantha Ann Carranza-Esparza
- Ashleigh Carranza
- Isaac Carranza
- Jennifer Ann Carranza
- Sinthya Carranza
All providers in Chula Vista, CA · Ophthalmology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.