Gerald Carnazzo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G20693 Issued in CA

Practice address

2 Upper Ragsdale Dr
B110
Monterey, CA 93940-5736

Phone

(831) 647-3190

Fax

(831) 373-1007

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roxana Shahnavaz DDS Inc,

  • Dental Clinic/Center
  • Monterey, CA
  • NPI 1356841639
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1841208246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR",
            "address_2": "B110",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405736",
            "telephone_number": "831-647-3190",
            "fax_number": "831-373-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR",
            "address_2": "B110",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405736",
            "telephone_number": "831-647-3190",
            "fax_number": "831-373-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNAZZO",
        "first_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G20693",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G20693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G206930",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "930099461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad Carlson
• Carmel Healthcare Anesthesia Medical Providers Inc
• Carmel Healthcare Anesthesia Medical Providers Inc
• Carmel Healthcare Anesthesia Medical Providers Inc
• Christina Diane Shamah Carmichael
• Katelin Rose Carollo, CCC-SLP
• Kaitlyn R Carpio
• Clarissa Diane Carrillo
• Jacob Carson
• Alyssa Marie Carter

• Family Medicine Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.