Active NPI
Carolyn O Monahan, MD
- Pediatrics Physician
- Escondido, CA
National Provider Identifier
1619973666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G26892
- Practice address
- 215 S Hickory St
Ste 126
Escondido, CA 92025-4359 - Phone
- (760) 745-7313
- Fax
- (760) 745-6360
- NPI assigned
- Jun 23, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G26892 | CA | Primary |
Addresses
Primary practice location
215 S Hickory St
Ste 126
Escondido, CA 92025-4359
Mailing address
215 S Hickory St
Ste 126
Escondido, CA 92025-3439
Phone (760) 745-7313
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 |
|---|---|---|---|
| G26892 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients | |
| Rady Children'S Hospital San Diego | Past | Accepting new patients | |
| Palomar Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1619973666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S HICKORY ST",
"address_2": "STE 126",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253439",
"telephone_number": "760-745-7313",
"fax_number": "760-745-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S HICKORY ST",
"address_2": "STE 126",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254359",
"telephone_number": "760-745-7313",
"fax_number": "760-745-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONAHAN",
"first_name": "CAROLYN",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G26892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.