Organization Active NPI

Ricardo Carrau, MD, Inc.

  • Otolaryngology Physician
  • Santa Monica, CA
National Provider Identifier
1467768440
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G886523 Issued in CA
Legal business name
RICARDO CARRAU, MD, INC.
Practice address
2200 Santa Monica Blvd
112
Santa Monica, CA 90404-2302
Phone
(310) 582-7312
Fax
(310) 582-7495
NPI assigned
Aug 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Dr. Ricardo L Carrau, M.D.
Title
President
Phone
(412) 287-9701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X G886523 CA Primary

Addresses

Primary practice location

2200 Santa Monica Blvd
112
Santa Monica, CA 90404-2302

Mailing address

2200 Santa Monica Blvd
112
Santa Monica, CA 90404-2302
Phone (310) 582-7312

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1467768440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SANTA MONICA BLVD",
            "address_2": "112",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042302",
            "telephone_number": "310-582-7312",
            "fax_number": "310-582-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SANTA MONICA BLVD",
            "address_2": "112",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042302",
            "telephone_number": "310-582-7312",
            "fax_number": "310-582-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO CARRAU, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "CARRAU",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-287-9701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G886523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.