Active NPI
Carla Pryor
- Specialist
- Oceanside, CA
National Provider Identifier
1477867828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT36873
- Practice address
- 3809 Plaza Dr
Ste 112
Oceanside, CA 92056-4625 - Phone
- (760) 941-2630
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT36873 | CA | Primary |
Addresses
Primary practice location
3809 Plaza Dr
Ste 112
Oceanside, CA 92056-4625
Mailing address
6221 Metropolitan St
Unit 101
Carlsbad, CA 92009-3096
Phone (760) 707-5080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT36873 | Other | CA | PT LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT36873 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1477867828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6221 METROPOLITAN ST",
"address_2": "UNIT 101",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920093096",
"telephone_number": "760-707-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3809 PLAZA DR",
"address_2": "STE 112",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564625",
"telephone_number": "760-941-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYOR",
"first_name": "CARLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT36873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT36873",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.