Individual provider Active NPI

Mona Charara, MD

  • Clinical Medical Laboratory
  • Carlsbad, CA
National Provider Identifier
1427349968
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
A80821 Issued in CA
Practice address
2110 Rutherford Rd
Carlsbad, CA 92008-7328
Phone
(760) 516-5124
NPI assigned
May 2, 2011
Last updated
May 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X A80821 CA Primary

Addresses

Primary practice location

2110 Rutherford Rd
Carlsbad, CA 92008-7328

Mailing address

2110 Rutherford Rd
Carlsbad, CA 92008-7328
Phone (760) 516-5124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A80821CAMDClinical Medical Laboratory

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1427349968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 RUTHERFORD RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087328",
            "telephone_number": "760-516-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 RUTHERFORD RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087328",
            "telephone_number": "760-516-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARARA",
        "first_name": "MONA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "A80821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.