Loni Yvonne Carrasco

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2398 E 14TH St Unit 418
San Leandro, CA 94577-6031

Phone

(510) 467-9500

NPI assigned

Nov 20, 2012

Last updated

Nov 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1467796060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 E 14TH ST UNIT 418",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776031",
            "telephone_number": "510-467-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 E 14TH ST UNIT 418",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776031",
            "telephone_number": "510-467-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "LONI",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystina Caro
• Natalie Tilley Caron, M.ED.
• Joseph William Carozza
• Jessie Carpenter, LCSW
• Sarah J Carr, LMFT
• Rosa Elida Carrasco, CPHW
• Cristina Maria Carrillo
• Nika Carrillo
• Reina Carrillo
• Sarah Teresa Carrillo, PHARM.D.

• Community Health Worker in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.