Erick F. Carcamo a Professional Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A53329 Issued in CA

Legal business name

ERICK F. CARCAMO A PROFESSIONAL MEDICAL CORPORATION

Practice address

14650 Pacific Ave
Baldwin Park, CA 91706-5333

Phone

(626) 337-1360

Fax

(626) 338-3861

NPI assigned

Apr 13, 2009

Organization subpart

Yes

Parent organization

ERICK F. CARCAMO MDAs reported in NPPES

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

Authorized official

Name

Erick F Carcamo, MD

Title

Medical Docaator

Phone

(626) 337-1360

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Part of

Erick F Carcamo a Prof Med

Locations

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1457594939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14307 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063242",
            "telephone_number": "626-337-1360",
            "fax_number": "626-338-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 PACIFIC AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065333",
            "telephone_number": "626-337-1360",
            "fax_number": "626-338-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICK F. CARCAMO A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERICK F. CARCAMO MD",
        "enumeration_date": "2009-04-13",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "CARCAMO",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DOCAATOR",
        "authorized_official_telephone_number": "626-337-1360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A53329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0906608",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A533290",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr_carcamo_md@live.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14650 Pacific Ave",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• General Practice Physician in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.