Individual provider Active NPI

Aristides Adam Carcamo, OD

  • Optometrist
  • Redwood City, CA
National Provider Identifier
1740857739
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34820 Issued in CA
Practice address
776A El Camino Real
Redwood City, CA 94063-1541
Phone
(650) 366-2020
NPI assigned
Jun 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34820 CA Primary

Addresses

Primary practice location

776A El Camino Real
Redwood City, CA 94063-1541

Mailing address

776A El Camino Real
Redwood City, CA 94063-1541
Phone (650) 366-2020

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630000173 CA Practitioner - Optometry 8325449234 Practice locations: Redwood City, CA; San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

776 A El Camino Real
Redwood City, CA 94063-1541
Phone (650) 366-2020

776 El Camino Real
Suite a
Redwood City, CA 94063-1541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visioncare of California Inc Optometrist Past Accepting new patients
3N Optical Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1740857739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776A EL CAMINO REAL",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631541",
            "telephone_number": "650-366-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776A EL CAMINO REAL",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631541",
            "telephone_number": "650-366-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCAMO",
        "first_name": "ARISTIDES",
        "middle_name": "ADAM",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.