Carmen Capodann MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CARMEN CAPODANN MD INC

Practice address

1360 W 6TH St Ste 270
San Pedro, CA 90732-3539

Phone

(310) 831-1272

Fax

(310) 831-1273

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Carmen Capodanno, MD

Title

Owner

Phone

(310) 831-1272

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gregory Philip Henderson, M.D.

  • MOHS-Micrographic Surgery Physician
  • Newport Beach, CA
  • NPI 1619109519

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1477863249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST STE 270",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323539",
            "telephone_number": "310-831-1272",
            "fax_number": "310-831-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST STE 270",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323539",
            "telephone_number": "310-831-1272",
            "fax_number": "310-831-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN CAPODANN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "CAPODANNO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-831-1272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen C Capodanno, M.D.
• Divina Capote
• Ma Karim Carbajal
• Candace Cargill-Fuller, CADC II
• Caring Angels Home Care LLC
• Daniel John Carr
• Tyler Edison Carter, MSW
• Leonard Henry Casillas, LMFT
• Priscilla Casillas
• Alexandria Caskie

• Dermatology Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.