Organization Active NPI

Carlton Medical Group Inc

  • Internist Chiropractor
  • Costa Mesa, CA
National Provider Identifier
1659985729
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
Legal business name
CARLTON MEDICAL GROUP INC
Practice address
1640 Newport Blvd Ste 440
Costa Mesa, CA 92627-3786
Phone
(949) 287-6321
Fax
(949) 287-6453
NPI assigned
Sep 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Scott A Carlton, DC
Title
Ceo
Phone
(949) 679-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NI0900X Primary

Addresses

Primary practice location

1640 Newport Blvd Ste 440
Costa Mesa, CA 92627-3786

Mailing address

1640 Newport Blvd Ste 440
Costa Mesa, CA 92627-3786
Phone (949) 287-6321

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL CostaMesa Health Information Exchange (HIE)
CONNECT URL CostaMesa Direct

National Provider Directory

National Provider Directory

Locations

1640 Newport Blvd
Ste 440
Costa Mesa, CA 92627
Phone (949) 287-6321

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1659985729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD STE 440",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273786",
            "telephone_number": "949-287-6321",
            "fax_number": "949-287-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD STE 440",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273786",
            "telephone_number": "949-287-6321",
            "fax_number": "949-287-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLTON MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-679-7676",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CostaMesa",
            "affiliation": "N",
            "endpointDescription": "address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1640 Newport Blvd Ste 440",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926273786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CostaMesa",
            "affiliation": "N",
            "endpointDescription": "address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1640 Newport Blvd Ste 440",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926273786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.