Organization Active NPI

Carcamo Medical Corporation

  • Family Medicine Physician
  • Baldwin Park, CA
National Provider Identifier
1770728636
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARCAMO MEDICAL CORPORATION
Practice address
14362 Ramona Blvd.
Baldwin Park, CA 91706-6241
Phone
(626) 337-0676
Fax
(626) 813-4342
NPI assigned
Dec 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Dr. Sherry Rostami, D.C.
Title
Administrator
Phone
(626) 337-0676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14362 Ramona Blvd.
Baldwin Park, CA 91706-6241

Mailing address

14362 Ramona Blvd.
Carcamo Medical Corporation
Baldwin Park, CA 91706-6241
Phone (626) 337-0676

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1770728636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14362 RAMONA BLVD.",
            "address_2": "CARCAMO MEDICAL CORPORATION",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917066241",
            "telephone_number": "626-337-0676",
            "fax_number": "626-813-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14362 RAMONA BLVD.",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917066241",
            "telephone_number": "626-337-0676",
            "fax_number": "626-813-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARCAMO MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "ROSTAMI",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-337-0676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.