Mabel E Carson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95002376 Issued in CA

Practice address

980 N D St
San Bernardino, CA 92410-3520

Phone

(909) 521-7508

NPI assigned

Aug 27, 2014

Last updated

Aug 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mabel E Casas Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ajay G. Meka M.D. Inc.

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1932214657
  Medicare reassignment NPD
• Universal Multi Specialty Medical Group Inc

  • Internal Medicine Physician
  • Ontario, CA
  • NPI 1124543129
  Medicare reassignment NPD
• Amistad Multi Specialty Medical Group Inc.

  • Cardiovascular Disease Physician
  • Santa Ana, CA
  • NPI 1912556721
  NPD (past)
• Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Tehachapi, CA
  • NPI 1851325021
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1689074619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26276 CRESTHAVEN CT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544138",
            "telephone_number": "423-208-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103520",
            "telephone_number": "909-521-7508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 S Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917625824",
            "country_code": "US",
            "telephone_number": "909-391-4138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6377 Riverside Ave Ste B101",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925063133",
            "country_code": "US",
            "telephone_number": "951-686-3437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 E Parkcenter Cir N",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924082869",
            "country_code": "US",
            "telephone_number": "909-890-2880",
            "fax_number": "909-890-9786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "MABEL",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5745",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MABEL",
            "last_name": "CASAS",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Carrillo
• Veronica Carrillo
• Tere-Monique Oresa Carrington, DNP, APRN, FNP-C
• Eduardo Guadalupe Carrizosa
• Robert Duncan Carruthers
• Carter Lane, D.D.S., M.S.
• Brittany Carter
• Bryan Carter
• Joshua Wallace Cartter, D.D.S.
• Julia Carvajal

• Family Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.