Margaret Edith Carrico, M.D.
Individual provider Active NPI Family Medicine Physician · McClellan, CA
NPI 1528043197 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528043197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0062301 (MD)
- Practice address
- 5342 Dudley Blvd
BLDG 98
McClellan, CA 95652-1012 - Phone
- (916) 561-7556
- NPI assigned
- Dec 7, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141112000344 | FL | Order and Referring Only - Family Practice |
4082836804 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0062301 | MD | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0062301 | MD | Yes |
Addresses
Primary practice location
5342 Dudley Blvd
BLDG 98
McClellan, CA 95652-1012
Mailing address
5342 Dudley Blvd
BLDG 98
McClellan, CA 95652-1012
Phone (916) 561-7556
Other providers in McClellan, CA
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- Faith Benton Broyles
- Sean R Burgess
- Rosemary Cabral
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- Jennifer Jazmin Carrillo
- Cameron Austin Cason
- Viviana Castro-Martinez
- Karina M Castro
- Judith Chavez
All providers in McClellan, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.