Elana Renu Carvalho

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

52310 Issued in CA

Practice address

118 N Santa Fe St Ste B
Hemet, CA 92543-4441

Phone

(951) 925-8811

NPI assigned

Jun 27, 2016

Last updated

Jun 27, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• California Ear, Nose, & Throat - Head & Neck Surgery Medical Corp.

  • Otolaryngology Physician
  • Hemet, CA
  • NPI 1558553503
  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1376994764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N SANTA FE ST STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N SANTA FE ST STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434441",
            "telephone_number": "951-925-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVALHO",
        "first_name": "ELANA",
        "middle_name": "RENU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Carrillo
• Peter Carrillo, PT
• Zulema Carrillo, PA-C
• Christopher Daniel Carroll
• Mia Elizabeth Carson, MD
• Gerard Joaquim Carvalho, M.D.
• John Rosario Carvalho, M.B.B.S.
• Casa Mojave
• Randi Leah Casados
• John Casamento

• Physician Assistant in Hemet, CA
• Providers in Hemet, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.