Angelina Carbajal

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

345975 Issued in AZ

Practice address

17349 W Villa Hermosa LN
Surprise, AZ 85387-4199

Phone

(225) 287-8230

NPI assigned

Sep 22, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1518879550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17349 W VILLA HERMOSA LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853874199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17349 W VILLA HERMOSA LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853874199",
            "telephone_number": "225-287-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBAJAL",
        "first_name": "ANGELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "345975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canyon Modern Dentistry & Orthodontics
• Canyon Modern Dentistry, LLP (Canyon Modern Dentistry)
• Canyon Physical Therapy Surprise LLC
• Canyon Physical Therapy, Inc.
• Genevieve Cappello
• Karla Carbajal
• Kim Irene Carbajal, RDH
• Kelli Cardi
• Cardinal Assisted Living Home
• Carefirst Wellness Associates of Az LLC

• Registered Nurse in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.