Marytere Carrasquillo Navarro, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A162664 Issued in CA

Practice address

680 Cohasset Rd
Chico, CA 95926-2213

Phone

(530) 342-4395

Fax

(530) 894-2325

NPI assigned

Feb 24, 2016

Last updated

Jun 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Infectious Disease

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ampla HealthGroup PAC ID 5092619270, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Butte Home Health and Hospice Home health agency, Chico, CA, CCN 057679
• Oroville Hospital Hospital, Oroville, CA, CCN 050030
• Enloe Health Hospital, Chico, CA, CCN 050039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marytere.carrasquillo@ampla.eclinicaldirectplus.com

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.

• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Oroville, CA
  • NPI 1952333635
  Medicare reassignment Care Compare group NPD
• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Chico, CA
  • NPI 1881613669
  NPD
• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Chico, CA
  • NPI 1316963606
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Butte Home Health Inc.

  • Home Health Agency
  • Chico, CA
  • NPI 1568492700
  Care Compare affiliation
• Enloe Medical Center

  • General Acute Care Hospital
  • Chico, CA
  • NPI 1417901091
  Care Compare affiliation
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1871606269
  Care Compare affiliation

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1851751408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262213",
            "telephone_number": "530-342-4395",
            "fax_number": "530-894-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262213",
            "telephone_number": "530-342-4395",
            "fax_number": "530-894-2325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Oroville",
            "state": "CA",
            "postal_code": "959665961",
            "country_code": "US",
            "telephone_number": "530-534-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRASQUILLO NAVARRO",
        "first_name": "MARYTERE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A162664",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A162664",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "31916R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carrasquillomarytere@hotmail.com",
            "affiliation": "N",
            "address_1": "2800 Lincoln St",
            "city": "Oroville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959665961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roger Carper, MT
• Alfred Dodd Carr, OD
• Grace Carr
• Graydon Ramos Carr, DDS
• Stacey Isabel Carrasco
• Carrel Balderston DDS Inc
• Oscar Santiago Carrillo Espinoza, BA
• Alexis S Carrillo
• Jessica Carrillo, DENTIST
• Christine V Carroll, LVN

• Internal Medicine Physician in Chico, CA
• Providers in Chico, 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 Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.