Active NPI
Claudia L. Carcamo, P.A..
- Medical Physician Assistant
- Granada Hills, CA
National Provider Identifier
1447439609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 19400
- Practice address
- 17709 Chatsworth St
Granada Hills, CA 91344-5675 - Phone
- (818) 363-8176
- NPI assigned
- Oct 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 19400 | CA | Primary |
Addresses
Primary practice location
17709 Chatsworth St
Granada Hills, CA 91344-5675
Mailing address
17709 Chatsworth St
Granada Hills, CA 91344-5675
Phone (818) 836-3817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
732 Mott St
San Fernando, CA 91340-4237
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 19400 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Loren Chen, MD Inc | Current | Accepting new patients | |
| Healthy Hearts Medical Group Inc | Past | Accepting new patients | |
| Healthy Hearts Medical Group Inc | Past | Accepting new patients |
Locations
11631 Victory Blvd
Ste 101
North Hollywood, CA 91606
Phone (818) 509-3587
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Reseda, CA
- NPI 1114947058
-
- Primary Care Clinic/Center
- San Fernando, CA
- NPI 1245669555
-
- Internal Medicine Physician
- North Hollywood, CA
- NPI 1790972081
-
- Family Medicine Physician
- Reseda, CA
- NPI 1295906402
-
- Family Medicine Physician
- Panorama City, CA
- NPI 1417189341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1447439609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17709 CHATSWORTH ST",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445675",
"telephone_number": "818-836-3817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17709 CHATSWORTH ST",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445675",
"telephone_number": "818-363-8176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARCAMO",
"first_name": "CLAUDIA",
"middle_name": "L.",
"credential": "P.A..",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA 19400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.