Active NPI
Kevin Ryan Carpenter
- Emergency Medicine Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A160146
- Practice address
- 4610 X St
Sacramento, CA 95817-2200 - Phone
- (925) 525-4545
- NPI assigned
- Oct 23, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A160146 | CA | Primary |
Addresses
Primary practice location
4610 X St
Sacramento, CA 95817-2200
Mailing address
5024 V St
Sacramento, CA 95817-1511
Phone (925) 525-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200305002805 | CA | Practitioner - Emergency Medicine | 7012344997 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - California
Practice addresses (Care Compare)
1441 Florida Ave
Modesto, CA 95350-4404
Phone (209) 578-1211
Hospital & facility affiliations
- Dominican Hospital
- Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A160146 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
CA, Emergency Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1487026977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5024 V ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171511",
"telephone_number": "925-525-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 X ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172200",
"telephone_number": "925-525-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "KEVIN",
"middle_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-23",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A160146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.