Jeffrey Scott Carrick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A87450 Issued in CA

Practice address

9260 Laguna Springs Dr Ste 302
Elk Grove, CA 95758-7947

Phone

(909) 379-5039

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1629070255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 LAGUNA SPRINGS DR STE 302",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587947",
            "telephone_number": "909-379-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 LAGUNA SPRINGS DR STE 302",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587947",
            "telephone_number": "909-379-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRICK",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87450",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A87450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Jennifer Carmichael, MPA, PA-C
• Caroline Bentley Family Therapist, Inc (SagePoint Intensive Outpatient Program)
• Caroline Bentley Family Therapist, Inc
• Carpe Diem Global Investments, LLC
• Shawna Lee Carr
• Jennifer Carrillo, OT
• Justin Carrillo
• Jean Nicole Carter
• Kaya Carter
• Mary Margaret Carter, RN, NP

• Family Medicine Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.