Individual provider Active NPI

Carl Evan Mascarinas Birondo, NP-C

  • Family Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1376012567
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010351 Issued in CA
Practice address
2121 Wilshire Blvd Ste 303
Santa Monica, CA 90403-5743
Phone
(888) 777-1945
Fax
(805) 413-9099
NPI assigned
Nov 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010351 CA Primary

Addresses

Primary practice location

2121 Wilshire Blvd Ste 303
Santa Monica, CA 90403-5743

Mailing address

4441 Elizabeth St
Cudahy, CA 90201-5725
Phone (213) 399-7948

Other practice location 1

27555 Ynez Rd Ste 370
Temecula, CA 92591-4678
Phone (888) 777-1945

Other practice location 2

79440 Corporate Center Dr Ste 101
LA Quinta, CA 92253-7243
Phone (888) 777-1945

Other practice location 3

440 N Mountain Ave Ste 103
Upland, CA 91786-5183
Phone (888) 777-1945

Other practice location 4

23456 Hawthorne Blvd Ste 240
Torrance, CA 90505-4716
Phone (888) 777-1945

Other practice location 5

501 N Central Ave
Glendale, CA 91203-1901
Phone (888) 777-1945

Other practice location 6

77 Rolling Oaks Dr Ste 201
Thousand Oaks, CA 91361-1018
Phone (888) 777-1945

Other practice location 7

24012 Calle De La Plata Ste 230
Laguna Hills, CA 92653-7623
Phone (888) 777-1945

Other practice location 8

2720 N Harbor Blvd Ste 200
Fullerton, CA 92835-2626
Phone (888) 777-1945

Other practice location 9

1310 M St
Fresno, CA 93721-1808
Phone (559) 264-2700

Other practice location 10

4441 Elizabeth St
Cudahy, CA 90201-5725
Phone (213) 399-7948

Other practice location 11

333 University Ave Ste 140
Sacramento, CA 95825-6535
Phone (888) 777-1945

Other practice location 12

4520 Executive Dr Ste 227
San Diego, CA 92121-3020
Phone (888) 777-1945

Other practice location 13

3103 E Cartwright Ave
Fresno, CA 93725-9385
Phone (559) 498-7100

Other practice location 14

539 N Van Ness Ave
Fresno, CA 93728-3419
Phone (559) 266-9581

Other practice location 15

1235 E St
Fresno, CA 93706-2024
Phone (559) 268-6261

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95010351CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prompt Laboratories Inc CurrentSince Aug 7, 2022 Accepting new patients
Global Mobile Medical Alliances, Inc. PastSince Mar 23, 2022 Accepting new patients

Locations

1300 Valley Vista Dr
Ste 102
Diamond Bar, CA 91765
Phone (626) 389-7498

Organizations & group practices 2

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": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1376012567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 ELIZABETH ST",
            "city": "CUDAHY",
            "state": "CA",
            "postal_code": "902015725",
            "telephone_number": "213-399-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD STE 303",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035743",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27555 Ynez Rd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925914678",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79440 Corporate Center Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922537243",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 N Mountain Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917865183",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23456 Hawthorne Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054716",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912031901",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Rolling Oaks Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913611018",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24012 Calle De La Plata Ste 230",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926537623",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 N Harbor Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928352626",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 M St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211808",
            "country_code": "US",
            "telephone_number": "559-264-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4441 Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Cudahy",
            "state": "CA",
            "postal_code": "902015725",
            "country_code": "US",
            "telephone_number": "213-399-7948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 University Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256535",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4520 Executive Dr Ste 227",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921213020",
            "country_code": "US",
            "telephone_number": "888-777-1945",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3103 E Cartwright Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937259385",
            "country_code": "US",
            "telephone_number": "559-498-7100",
            "fax_number": "559-498-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "539 N Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937283419",
            "country_code": "US",
            "telephone_number": "559-266-9581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 E St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937062024",
            "country_code": "US",
            "telephone_number": "559-268-6261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRONDO",
        "first_name": "CARL EVAN",
        "middle_name": "MASCARINAS",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-16",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.