Organization Active NPI

Claudio M. Carvalho, D.O, a Professional Medical Corporation

  • Physical Medicine & Rehabilitation Physician
  • Costa Mesa, CA
National Provider Identifier
1376712273
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A8191 Issued in CA
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

Updated by the provider on Aug 5, 2010

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060213000733 CA Part B Supplier - Clinic/Group Practice 3274548201 Receives reassigned benefits from 1 practitioner
Practice locations: Costa Mesa, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.