Individual provider Active NPI

Carolina Sueldo, M.D.

  • Reproductive Endocrinology Physician
  • Clovis, CA
National Provider Identifier
1366752107
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
A113893 Issued in CA
Practice address
729 N Medical Center Dr W Ste 205
Clovis, CA 93611-6885
Phone
(559) 299-7700
Fax
(559) 297-9679
NPI assigned
Oct 14, 2010
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME123211 FL
Obstetrics & Gynecology Physician 207V00000X 051012 CT
Reproductive Endocrinology Physician 207VE0102X A113893 CA Primary

Addresses

Primary practice location

729 N Medical Center Dr W Ste 205
Clovis, CA 93611-6885

Mailing address

729 N Medical Center Dr W Ste 205
Clovis, CA 93611-6885

Other practice location 1

2960 N State Road 7
Suite 300
Margate, FL 33063-5755
Phone (954) 247-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150522001107 CT Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 0547419574

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051012CTMDObstetrics & Gynecology Physician
ME123211FLMDObstetrics & Gynecology Physician
A113893CAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Carolina Sueldo, LLC Reproductive Endocrinology Current Accepting new patients
South Broward Hospital District Past Accepting new patients
South Broward Hospital District Past Accepting new patients
South Broward Hospital District Past Accepting new patients
State of Connecticut Past Accepting new patients
Northwest Medical Center Inc Past Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1366752107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 N MEDICAL CENTER DR W STE 205",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 N MEDICAL CENTER DR W STE 205",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116885",
            "telephone_number": "559-299-7700",
            "fax_number": "559-297-9679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2960 N State Road 7",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330635755",
            "country_code": "US",
            "telephone_number": "954-247-6200",
            "fax_number": "954-247-6283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUELDO",
        "first_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME123211",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "051012",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A113893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.