Carrie L Cardenas MD a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A727440 Issued in CA

Legal business name

CARRIE L CARDENAS MD A MEDICAL CORPORATION

Practice address

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

Phone

(619) 819-7227

Fax

(619) 299-7430

NPI assigned

Jul 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Carrie L Cardenas, MDNPI 1750390084

Title

MD

Phone

(619) 819-7227

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18346/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie Lynn Cardenas, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1750390084
  Medicare reassignment Care Compare group NPD Authorized official
• Hector Gomez Cardenas, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1649383647
  Medicare reassignment Care Compare group NPD
• Daniel J Bressler, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1700887726
  NPD (past)
• Anne K. Stewart, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1578556197
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1831675537",
    "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 Ste 508",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032238",
            "country_code": "US",
            "telephone_number": "619-299-2570",
            "fax_number": "619-291-9410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARRIE L CARDENAS MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "619-819-7227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A727440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A727440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A72744",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlen Carreto Jimenez
• Cecilia Carreto
• Daniel Carreto
• Carrie a Morrison, Psy.D, Inc
• Carrie Hill Marriage and Family Therapy Inc.
• Kenichi Carrigan, MD
• Sandra Carrigan, LAC
• Cassie Carrillo Cerna
• Anna Carrillo Cuevas
• Rocio Carrillo Fitz

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.