Active NPI
Claudio M. Carvalho, D.O, a Professional Medical Corporation
- Physical Medicine & Rehabilitation Physician
- Costa Mesa, CA
National Provider Identifier
1376712273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 20A8191
- Legal business name
- CLAUDIO M. CARVALHO, D.O, A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 230 E 17TH St
Suite 202
Costa Mesa, CA 92627-3824 - Phone
- (949) 999-0777
- Fax
- (949) 999-0784
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sonmi Carvalho
- Title
- Administrator
- Phone
- (949) 999-0777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 20A8191 | CA | Primary |
Addresses
Primary practice location
230 E 17TH St
Suite 202
Costa Mesa, CA 92627-3824
Mailing address
230 East 17TH Street
Suite 202
Costa Mesa, CA 92627-3824
Phone (949) 999-0777
Other names 1
- FUNCTIONAL ORTHOPEDIC REHABILITATION MEDICINE ASSOCIATES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
230 E 17th St
Ste 202
Costa Mesa, CA 92627
Phone (949) 999-0777
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Costa Mesa, CA
- NPI 1336110683
-
- Sports Physician Chiropractor
- Irvine, CA
- NPI 1891852067
-
- Specialist
- Huntington Beach, CA
- NPI 1205979333
-
- Chiropractor
- Costa Mesa, CA
- NPI 1326464850
-
- Physical Therapist
- Cypress, CA
- NPI 1487743688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280966400000",
"number": "1376712273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 EAST 17TH STREET",
"address_2": "SUITE 202",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273824",
"telephone_number": "949-999-0777",
"fax_number": "949-999-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E 17TH ST",
"address_2": "SUITE 202",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273824",
"telephone_number": "949-999-0777",
"fax_number": "949-999-0784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAUDIO M. CARVALHO, D.O, A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-25",
"last_updated": "2010-08-05",
"status": "A",
"authorized_official_last_name": "CARVALHO",
"authorized_official_first_name": "SONMI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "949-999-0777"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "20A8191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FUNCTIONAL ORTHOPEDIC REHABILITATION MEDICINE ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.