Organization Active NPI

Dr Carnegie DO a Professional Medical Corporation

  • Family Medicine Physician
  • Downey, CA
National Provider Identifier
1669852612
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6691 Issued in CA
Legal business name
DR CARNEGIE DO A PROFESSIONAL MEDICAL CORPORATION
Practice address
8142 Firestone Blvd
Downey, CA 90241-4231
Phone
(562) 869-8621
Fax
(562) 231-1339
NPI assigned
Jun 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Mrs. Courtney Rojas
Title
Office Manager
Phone
(562) 869-8621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A6691 CA Primary

Addresses

Primary practice location

8142 Firestone Blvd
Downey, CA 90241-4231

Mailing address

8142 Firestone Blvd
Downey, CA 90241-4231
Phone (562) 869-8621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151209002723 CA Part B Supplier - Clinic/Group Practice 1456652833 Receives reassigned benefits from 1 practitioner
Practice locations: Downey, CA

National Provider Directory

National Provider Directory

Locations

8142 Firestone Blvd
Downey, CA 90241
Phone (562) 869-8621

12055 Lakewood Blvd
Downey, CA 90242
Phone (562) 869-4038

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1669852612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8142 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414231",
            "telephone_number": "562-869-8621",
            "fax_number": "562-231-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8142 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414231",
            "telephone_number": "562-869-8621",
            "fax_number": "562-231-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CARNEGIE DO A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "562-869-8621",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.