Active NPI
William Michael Carragher III, D.O.
- Physical Medicine & Rehabilitation Physician
- West Hollywood, CA
National Provider Identifier
1699888727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 20A7692
- Practice address
- 7235 Santa Monica Blvd
West Hollywood, CA 90046-6724 - Phone
- (805) 823-8204
- Fax
- (805) 823-8209
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A7692 | CA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 20A7692 | CA | Primary |
| General Practice Physician | 208D00000X | 20A7692 | CA |
Addresses
Primary practice location
7235 Santa Monica Blvd
West Hollywood, CA 90046-6724
Mailing address
7235 Santa Monica Blvd
West Hollywood, CA 90046-6724
Phone (805) 823-8204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A7692 | Other | CA | BLUE CROSS PROVIDER NUM |
Other names 1
- Dr. W. Michael Carragher III
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: Yes
- Opted out of Medicare
- Yes, effective Nov 27, 2018 through Nov 27, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7692 | CA | MD | Psychologist |
| 20A7692 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W. Michael Carragher III, DO Inc. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- West Hollywood, CA
- NPI 1003025800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1699888727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7235 SANTA MONICA BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900466724",
"telephone_number": "805-823-8204",
"fax_number": "805-823-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7235 SANTA MONICA BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900466724",
"telephone_number": "805-823-8204",
"fax_number": "805-823-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRAGHER",
"first_name": "WILLIAM",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A7692",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "20A7692",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "20A7692",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUM",
"identifier": "20A7692",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "W.",
"last_name": "CARRAGHER",
"middle_name": "MICHAEL",
"prefix": "DR.",
"suffix": "III",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.