Organization Active NPI

Zosima B. Carino-Gateb, M.D., Inc.

  • Pediatric Adolescent Medicine Physician
  • Indio, CA
National Provider Identifier
1831538651
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
A45857 Issued in CA
Legal business name
ZOSIMA B. CARINO-GATEB, M.D., INC.
Practice address
81833 Doctor Carreon Blvd
Suite 6
Indio, CA 92201-0602
Phone
(760) 775-7763
Fax
(760) 775-9953
NPI assigned
Jun 14, 2013
Last updated
Mar 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Dr. Zosima B Carino-Gateb, MDNPI 1508842741
Title
Primary Care Physician
Phone
(760) 775-7763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X A45857 CA Primary

Addresses

Primary practice location

81833 Doctor Carreon Blvd
Suite 6
Indio, CA 92201-0602

Mailing address

81833 Doctor Carreon Blvd
Suite 6
Indio, CA 92201-0602
Phone (760) 775-7763

Other identifiers 4

IdentifierTypeStateIssuer
10944448OtherCACAQH
00A458571MedicaidCA
1962770875OtherCAINDIVIDUAL NPI PCP 2
1508842741OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1831538651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81833 DOCTOR CARREON BLVD",
            "address_2": "SUITE 6",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922010602",
            "telephone_number": "760-775-7763",
            "fax_number": "760-775-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81833 DOCTOR CARREON BLVD",
            "address_2": "SUITE 6",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922010602",
            "telephone_number": "760-775-7763",
            "fax_number": "760-775-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOSIMA B. CARINO-GATEB, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "CARINO-GATEB",
        "authorized_official_first_name": "ZOSIMA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRIMARY CARE PHYSICIAN",
        "authorized_official_telephone_number": "760-775-7763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A45857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10944448",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A458571",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI PCP 2",
            "identifier": "1962770875",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1508842741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.