Active NPI
Emily Jane Carvajal, FNP-BC
- Primary Care Nurse Practitioner
- Glendale, CA
National Provider Identifier
1639024953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 95036672
- Practice address
- 1509 Wilson Ter
Glendale, CA 91206-4007 - Phone
- (818) 319-5330
- NPI assigned
- Mar 2, 2026
- Last updated
- Mar 2, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 9522851 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | 95036672 | CA | Primary |
Addresses
Primary practice location
1509 Wilson Ter
Glendale, CA 91206-4007
Mailing address
8976 Yew St
Rancho Cucamonga, CA 91730-1253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6542 9TH St
Rockford, IL 61109-4334
PO Box
Suite 210
Portsmouth, NH 03802
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9522851 | CA | MD | Critical Care Medicine Registered Nurse |
| 95036672 | CA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1639024953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8976 YEW ST",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 WILSON TER",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064007",
"telephone_number": "818-319-5330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVAJAL",
"first_name": "EMILY",
"middle_name": "JANE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-02",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "9522851",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95036672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.