Individual provider Active NPI

Samuel J Carrino Jr., D.C.

  • Chiropractor
  • Redding, CA
National Provider Identifier
1841373305
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
21651 Issued in CA
Practice address
153 Hartnell Ave
Suite 300
Redding, CA 96002-1856
Phone
(530) 243-2300
Fax
(530) 222-0318
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 21651 CA Primary

Addresses

Primary practice location

153 Hartnell Ave
Suite 300
Redding, CA 96002-1856

Mailing address

153 Hartnell Ave
Suite 300
Redding, CA 96002-1856
Phone (530) 243-2300

Other identifiers 1

IdentifierTypeStateIssuer
DC0216510MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000859 CA Practitioner - Chiropractic 7810066081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

153 Hartnell Ave
Suite 300
Redding, CA 96002-1856
Phone (530) 243-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carrino Chiropractic Inc Chiropractor CurrentSince May 27, 2008 Accepting new patients
Remedios Chiropractic Clinic, Inc. Chiropractor Past Accepting new patients

Locations

153 Hartnell Ave
Redding, CA 96002
Phone (530) 222-0264

153 Hartnell Ave
Ste 300
Redding, CA 96002
Phone (530) 243-2300

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1841373305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 HARTNELL AVE",
            "address_2": "SUITE 300",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021856",
            "telephone_number": "530-243-2300",
            "fax_number": "530-222-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 HARTNELL AVE",
            "address_2": "SUITE 300",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021856",
            "telephone_number": "530-243-2300",
            "fax_number": "530-222-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINO",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0216510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.