Active NPI
Zosima B Carino-Gateb, M.D.
- Pediatric Adolescent Medicine Physician
- Indio, CA
National Provider Identifier
1508842741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- A45857
- Practice address
- 81833 Doctor Carreon Blvd
Suite 6
Indio, CA 92201-5590 - Phone
- (760) 775-7763
- Fax
- (760) 775-9953
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | A45857 | CA | Primary |
Addresses
Primary practice location
81833 Doctor Carreon Blvd
Suite 6
Indio, CA 92201-5590
Mailing address
81833 Doctor Carreon Blvd
Suite 6
Indio, CA 92201-5590
Phone (760) 775-7763
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A458571 | Medicaid | CA | |
| 10944448 | Other | CA | CAQH PROVIDER ID |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A45857 | CA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zosima B. Carino-Gateb, M.D., Inc. | Adolescent Medicine | Past | Accepting new patients |
| JFK Memorial Hospital, Inc. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- zosima.carinogateb.p48@direct.mydohc.nextgenshare.com
Organizations & group practices 2
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.
-
- Pediatric Adolescent Medicine Physician
- Indio, CA
- NPI 1831538651
-
- General Acute Care Hospital
- Indio, CA
- NPI 1477584993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1508842741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81833 DOCTOR CARREON BLVD",
"address_2": "SUITE 6",
"city": "INDIO",
"state": "CA",
"postal_code": "922015590",
"telephone_number": "760-775-7763",
"fax_number": "760-775-9953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81833 DOCTOR CARREON BLVD",
"address_2": "SUITE 6",
"city": "INDIO",
"state": "CA",
"postal_code": "922015590",
"telephone_number": "760-775-7763",
"fax_number": "760-775-9953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARINO-GATEB",
"first_name": "ZOSIMA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "A45857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A458571",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID",
"identifier": "10944448",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.