Victor G. Carabello, MD Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G74827 Issued in CA

Legal business name

VICTOR G. CARABELLO, MD INC

Practice address

1700 E. Cesar Chavez Avenue
L200
Los Angeles, CA 90033-2467

Phone

(323) 526-2880

Fax

(323) 526-3885

NPI assigned

Oct 1, 2006

Organization subpart

No

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

Authorized official

Name

Victor G. Carabello, MDNPI 1649293705

Title

President

Phone

(323) 526-2880

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Victor G. Carabello, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1649293705
  Medicare reassignment Authorized official
• Ricardo Cardenas, PA-C

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1851696967
  Medicare reassignment
• Gabriel G. Carabello, MD

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1164453320
  NPD (past)
• Charles Raymond Vaughn

  • Nephrology Physician
  • Pecos, TX
  • NPI 1780625905
  NPD (past)

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1710070099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E. CESAR CHAVEZ AVENUE",
            "address_2": "L-200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332467",
            "telephone_number": "323-526-2880",
            "fax_number": "323-526-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E. CESAR CHAVEZ AVENUE",
            "address_2": "L200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332467",
            "telephone_number": "323-526-2880",
            "fax_number": "323-526-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR G. CARABELLO, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "CARABELLO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-526-2880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G74827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "W14738",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicken Gulvartian
• Vikki Vickers
• Barbara G Vickrey, MD
• Ruth Cassandra Victor - Jackson
• Victor de Los Santos, DDS
• Victor Ho Investments Inc.
• Victor Mode Physical Therapy & Wellness
• Victor Sadeghi Malvajerdi Chiropractic
• Gabriella Lucille Victor, MD, MPH
• Jacqueline Nguyen Victor

• Nephrology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.