Christopher P Decarlo, M.D.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

C51535 Issued in CA

Practice address

1520 Nutmeg PL
Suite 110
Costa Mesa, CA 92626-2501

Phone

(714) 751-8110

Fax

(714) 918-0322

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1851474852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 NUTMEG PL",
            "address_2": "SUITE 110",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262501",
            "telephone_number": "714-751-8110",
            "fax_number": "714-918-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 NUTMEG PL",
            "address_2": "SUITE 110",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262501",
            "telephone_number": "714-751-8110",
            "fax_number": "714-918-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARLO",
        "first_name": "CHRISTOPHER",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "C51535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashly Danaiah Morales De Vera
• Noah Dean
• Stephanie Marie Deatherage
• Chelsea Deaton
• Rania Debbas
• Joy Decicco, P.T.
• Allen Jerome Degrandmont, DPM
• Nathalie Deir
• Midori Dekura, LMFT
• Jorge Del Real

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.