Active NPI
Eric E Carino, OT
- Physical Medicine & Rehabilitation Physician
- Palm Desert, CA
National Provider Identifier
1497913032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4416
- Practice address
- 72670 Fred Waring Dr
Ste 203
Palm Desert, CA 92260-5013 - Phone
- (760) 285-4434
- NPI assigned
- May 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4416 | CA | Primary |
Addresses
Primary practice location
72670 Fred Waring Dr
Ste 203
Palm Desert, CA 92260-5013
Mailing address
72670 Fred Waring Dr
Ste 203
Palm Desert, CA 92260-5013
Phone (760) 285-4434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4416 | Other | CA | OT 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 |
|---|---|---|---|
| 4416 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1497913032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72670 FRED WARING DR",
"address_2": "STE 203",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922605013",
"telephone_number": "760-285-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72670 FRED WARING DR",
"address_2": "STE 203",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922605013",
"telephone_number": "760-285-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARINO",
"first_name": "ERIC",
"middle_name": "E",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "4416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "4416",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.