Individual provider Active NPI

Brian Carter II

  • Driver
  • Sacramento, CA
National Provider Identifier
1619606753
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
D6760023 Issued in CA
Practice address
5301 E Commerce Way Unit 8101
Sacramento, CA 95835-3009
Phone
(916) 262-5736
NPI assigned
Jun 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X D6760023 CA Primary

Addresses

Primary practice location

5301 E Commerce Way Unit 8101
Sacramento, CA 95835-3009

Mailing address

5301 E Commerce Way Unit 8101
Sacramento, CA 95835-3009
Phone (916) 262-5736

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Cftca@gmail.com

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

State licenses

LicenseStateTypeSpecialty
D6760023CAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Carter Family Transit CurrentSince Jun 12, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1619606753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 E COMMERCE WAY UNIT 8101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958353009",
            "telephone_number": "916-262-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E COMMERCE WAY UNIT 8101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958353009",
            "telephone_number": "916-262-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "D6760023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cftca@gmail.com",
            "affiliation": "N",
            "address_1": "5301 E Commerce Way Unit 8101",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958353009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.