Active NPI
Carlos E Ferrufino, FNP
- Family Nurse Practitioner
- Palmdale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95021685
- Practice address
- 41203 Crispi LN
Palmdale, CA 93551-1928 - Phone
- (818) 237-8961
- NPI assigned
- Aug 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 16-550 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95021685 | CA | Primary |
Addresses
Primary practice location
41203 Crispi LN
Palmdale, CA 93551-1928
Mailing address
41203 Crispi LN
Palmdale, CA 93551-1928
Phone (818) 237-8961
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16-550 | CA | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bartz-Altadonna Community Health Center | Current | Accepting new patients | |
| Bartz-Altadonna Community Health Center | Current | Accepting new patients |
Locations
12560 Boron Ave
Boron, CA 93516
Phone (760) 762-5064
43322 Gingham Ave
Ste 105
Lancaster, CA 93535
Phone (661) 874-4029
43210 Gingham Ave
Lancaster, CA 93535
Phone 6618744050222
43322 Gingham Ave
Lancaster, CA 93535
Phone (661) 579-9317
2520 E Palmdale Blvd
Ste A
Palmdale, CA 93550
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Lancaster, CA
- NPI 1811279763
-
- Community/Retail Pharmacy
- Lancaster, CA
- NPI 1700672011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1740735232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41203 CRISPI LN",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935511928",
"telephone_number": "818-237-8961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41203 CRISPI LN",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935511928",
"telephone_number": "818-237-8961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRUFINO",
"first_name": "CARLOS",
"middle_name": "E",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-24",
"last_updated": "2022-11-18",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CA",
"license": "16-550",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95021685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.