Active NPI
Carlos Eduardo Costa, RN
- Registered Nurse
- Monterey, CA
National Provider Identifier
1467750273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 781324
- Practice address
- 343 Dela Vina Ave
Monterey, CA 93940-3974 - Phone
- (831) 440-7030
- Fax
- (831) 647-3004
- NPI assigned
- Mar 2, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 781324 | CA | Primary |
Addresses
Primary practice location
343 Dela Vina Ave
Monterey, CA 93940-3974
Mailing address
3440 Rio Rd
Carmel, CA 93923-9021
Phone (831) 392-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 781324 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1467750273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 RIO RD",
"city": "CARMEL",
"state": "CA",
"postal_code": "939239021",
"telephone_number": "831-392-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 DELA VINA AVE",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403974",
"telephone_number": "831-440-7030",
"fax_number": "831-647-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "CARLOS",
"middle_name": "EDUARDO",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-02",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "781324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.