Organization Active NPI

Xavier J. Caro M.D., a Medical Corporation

  • Rheumatology Physician
  • Northridge, CA
National Provider Identifier
1477833853
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G28544 Issued in CA
Legal business name
XAVIER J. CARO M.D., A MEDICAL CORPORATION
Practice address
18350 Roscoe Blvd Ste 418
Northridge, CA 91325-4174
Phone
(818) 993-0125
Fax
(818) 993-4319
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Dr. Xavier Joseph Caro, M.D.NPI 1477656353
Title
Owner
Phone
(818) 993-0125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X G28544 CA Primary

Addresses

Primary practice location

18350 Roscoe Blvd Ste 418
Northridge, CA 91325-4174

Mailing address

18350 Roscoe Blvd Ste 418
Northridge, CA 91325-4174
Phone (818) 993-0125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110826000416 CA Part B Supplier - Clinic/Group Practice 0446420699 Receives reassigned benefits from 1 practitioner
Practice locations: Northridge, CA

National Provider Directory

National Provider Directory

Locations

18350 Roscoe Blvd
Ste 418
Northridge, CA 91325
Phone (818) 993-0125

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1477833853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD STE 418",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254174",
            "telephone_number": "818-993-0125",
            "fax_number": "818-993-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD STE 418",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254174",
            "telephone_number": "818-993-0125",
            "fax_number": "818-993-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XAVIER J. CARO M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "CARO",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-993-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G28544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.