Active NPI
Carlos Navarro
- Addiction (Substance Use Disorder) Counselor
- Inglewood, CA
National Provider Identifier
1386977189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CAADE 4731-R
- Practice address
- 323 N.Prairie Avenue
Inglewood, CA 90301 - Phone
- (310) 846-2100
- Fax
- (310) 846-2139
- NPI assigned
- Sep 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAADE 4731-R | CA | Primary |
Addresses
Primary practice location
323 N.Prairie Avenue
Inglewood, CA 90301
Mailing address
4760 Sepulveda Blvd.
Suite 100
Culver City, CA 90230
Phone (310) 390-6612
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAADE 4731-R | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1386977189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 SEPULVEDA BLVD.",
"address_2": "SUITE 100",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "90230",
"telephone_number": "310-390-6612",
"fax_number": "310-398-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 N.PRAIRIE AVENUE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "90301",
"telephone_number": "310-846-2100",
"fax_number": "310-846-2139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRO",
"first_name": "CARLOS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-10",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CAADE 4731-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.