Joe Rigoberto Carbajal, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

4011 W Rose Garden LN
Glendale, AZ 85308-4765

Phone

(602) 524-7814

Fax

(623) 776-9115

NPI assigned

Mar 8, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1821459611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 W ROSE GARDEN LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084765",
            "telephone_number": "602-524-7814",
            "fax_number": "623-776-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 W ROSE GARDEN LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084765",
            "telephone_number": "602-524-7814",
            "fax_number": "623-776-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBAJAL",
        "first_name": "JOE",
        "middle_name": "RIGOBERTO",
        "credential": "AT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Caprata
• Sarah Nicole Caprio
• Dane Anthony Caputo, DO
• Samantha Caran, MS, LAC
• Jacqueline Carbajal
• Kelly Jeanne Carbello, MSW
• Elaine Carder
• Cardiac Surgery Center of Arizona LLC
• Xavier Ryon Cardinal, DPT
• Cardiovascular Consultants, LTD

• Athletic Trainer in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.