Active NPI
C&C Medical Group
- Adult Medicine Physician
- Naples, FL
National Provider Identifier
1548940703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- C&C MEDICAL GROUP
- Practice address
- 1575 Pine Ridge Rd Ste 21
Naples, FL 34109-2111 - Phone
- (239) 422-7097
- Fax
- (239) 422-7179
- NPI assigned
- Jul 24, 2023
- Last updated
- Jan 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Cardoso, DO
- Title
- Authorized Official
- Phone
- (239) 422-7097
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | NU | Primary |
Addresses
Primary practice location
1575 Pine Ridge Rd Ste 21
Naples, FL 34109-2111
Mailing address
171 Arbor Blvd
Naples, FL 34119-4644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/FFEDDD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Naples, FL
- NPI 1386037224
-
- Family Medicine Physician
- Estero, FL
- NPI 1740669613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705881600000",
"number": "1548940703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 ARBOR BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341194644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 PINE RIDGE RD STE 21",
"city": "NAPLES",
"state": "FL",
"postal_code": "341092111",
"telephone_number": "239-422-7097",
"fax_number": "239-422-7179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C&C MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-24",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A",
"authorized_official_last_name": "CARDOSO",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "239-422-7097",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.