Antonio Carbayo MD a Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G79962 Issued in CA

Legal business name

ANTONIO CARBAYO MD A MEDICAL CORPORATION

Practice address

1911 N Broadway
Santa Ana, CA 92706-2609

Phone

(714) 667-6900

Fax

(714) 667-6116

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Antonio Carbayo, MDNPI 1033149356

Title

Owner

Phone

(714) 667-6900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio Carbayo, MD

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1033149356
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1467725846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062609",
            "telephone_number": "714-667-6900",
            "fax_number": "714-667-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062609",
            "telephone_number": "714-667-6900",
            "fax_number": "714-667-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO CARBAYO MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "CARBAYO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-667-6900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G79962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Antczak
• Anthony Nguyen DDS Inc
• Sabrina Anthony, RDA
• German Arturo Antillon, DDS
• Erica Antolin
• Andrew Antonious
• Ashvin Sunny Antony, MD
• Brianna Antunez
• Doris Guadalupe Antunez
• Pedro Antunez Jr.

• Primary Care Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.