Active NPI
Brian D Carrico, DC
- Chiropractor
- Torrance, CA
National Provider Identifier
1811048515
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Jan 19, 2023.
- Section 1128b(5) exclusion effective Jun 18, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14565
- Practice address
- 21707 Hawthorne Blvd
Ste 101
Torrance, CA 90503 - Phone
- (310) 540-9699
- Fax
- (310) 540-9699
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14565 | CA | Primary |
Addresses
Primary practice location
21707 Hawthorne Blvd
Ste 101
Torrance, CA 90503
Mailing address
221 Avenue D
Redondo Beach, CA 90277
Phone (310) 540-9699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1811048515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 AVENUE D",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90277",
"telephone_number": "310-540-9699",
"fax_number": "310-540-9486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21707 HAWTHORNE BLVD",
"address_2": "STE 101",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90503",
"telephone_number": "310-540-9699",
"fax_number": "310-540-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRICO",
"first_name": "BRIAN",
"middle_name": "D",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "14565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.