Carolin Adel Girgis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A115461 Issued in CA

Practice address

1720 East Cesar Chavez Avenue
Los Angeles, CA 90033

Phone

(323) 268-5000

NPI assigned

Apr 26, 2012

Last updated

Apr 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of California, Davis School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fountain Valley Group Services PCGroup PAC ID 9931427382, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• John F Kennedy Memorial Hospital Hospital, Indio, CA, CCN 050534

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Fountain Valley Group Services PC

  • Hospitalist Physician
  • Indio, CA
  • NPI 1013310309
  Medicare reassignment Care Compare group NPD
• Fountain Valley Group Services PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Indio, CA
  • NPI 1194670349
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• JFK Memorial Hospital, Inc.

  dba John F. Kennedy Memorial Hospital

  • General Acute Care Hospital
  • Indio, CA
  • NPI 1477584993
  Care Compare affiliation

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1457619447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 FARIS DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EAST CESAR CHAVEZ AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-268-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRGIS",
        "first_name": "CAROLIN",
        "middle_name": "ADEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A115461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Harold Gipstein, MFT
• Fransini Giraldo, FNP-BC
• Laurent Dominique Girard, MA, CCC-SLP
• Michele Leon Girard, LM, CPM
• Daniela Adrine Girbal-Shilvarjo, LMFT
• Jacob Girgis
• Jennifer Murphy Girgis
• Marina Paul Girgis, N/A
• Mark Girgis, MD
• Sandra Girgis

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.

Verify at the official NPI Registry.