NPIMap

Individual provider Active NPI

Carrie Lynn Cardenas, M.D.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1750390084
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A72744 Issued in CA
Practice address
3330 3Rd Ave Ste 402
San Diego, CA 92103-5639
Phone
(619) 819-7227
Fax
(619) 299-7430
NPI assigned
Aug 5, 2006
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A72744 CA Primary

Addresses

Primary practice location

3330 3Rd Ave Ste 402
San Diego, CA 92103-5639

Mailing address

3330 3Rd Ave Ste 402
San Diego, CA 92103-5639
Phone (619) 819-7227

Other practice location 1

501 Washington St
Ste 508
San Diego, CA 92103
Phone (619) 299-2570

Other identifiers 1

IdentifierTypeStateIssuer
00A727440MedicaidCA

Other names 1

  • Carrie Lynn Campbell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000935 CA Practitioner - Internal Medicine 4183757685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carrie L Cardenas MD a Medical CorporationGroup PAC ID 2961752134, 2 clinicians

Practice addresses (Care Compare)

3330 3Rd Ave
Suite 402
San Diego, CA 92103-5639
Phone (619) 819-7227

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Carrie L Cardenas MD a Medical Corporation Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients

Locations

3330 3rd Ave
Ste 402
San Diego, CA 92103
Phone (619) 298-1733

501 Washington St
Ste 508
San Diego, CA 92103
Phone (619) 849-4469

Interoperability endpoints

  • Direct secure messaging: carrie.cardenas.1@18346.direct.athenahealth.com
  • Direct secure messaging: ccardenas177398@scrippshlth.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/18346/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1750390084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE STE 402",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-819-7227",
            "fax_number": "619-299-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE STE 402",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-819-7227",
            "fax_number": "619-299-7430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 WASHINGTON ST",
            "address_2": "STE 508",
            "address_purpose": "LOCATION",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "country_code": "US",
            "telephone_number": "619-299-2570",
            "fax_number": "619-294-2738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A72744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A727440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "CAMPBELL",
            "middle_name": "LYNN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.