Individual provider Active NPI

Douglas F. Carrasco, M.D.

  • Internal Medicine Physician
  • Temecula, CA
National Provider Identifier
1861406340
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G820910 Issued in CA
Practice address
44274 George Cushman CT
Suite 210
Temecula, CA 92592-5945
Phone
(951) 302-4603
Fax
(951) 302-4605
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G820910 CA Primary

Addresses

Primary practice location

44274 George Cushman CT
Suite 210
Temecula, CA 92592-5945

Mailing address

44274 George Cushman CT
Suite 210
Temecula, CA 92592-5945
Phone (951) 302-4603

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080116000424 CA Practitioner - Internal Medicine 8820179856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

44274 George Cushman CT
Suite 210
Temecula, CA 92592-5945
Phone (951) 302-4603

Hospital & facility affiliations

  • Advantage Health Systems Home health agency, Riverside, CA, CCN 059476
  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G820910CAMDInternal Medicine Physician
82091CAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Valley Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Dec 19, 2014 Accepting new patients
Douglas F. Carrasco M.D. Inc. CurrentSince Oct 1, 2007 Accepting new patients
Pervaiz Channah and Associates Internal Medicine CurrentSince Oct 1, 2007 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients

Locations

25109 Jefferson Ave
Ste 105
Murrieta, CA 92562
Phone (909) 698-5765

44274 George Cushman Ct
Ste 210
Temecula, CA 92592
Phone (951) 302-4603

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFDCCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFDCCA/Endpoint/EFDCCA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dcarrasco181857@direct.llu.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCACCA

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1861406340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44274 GEORGE CUSHMAN CT",
            "address_2": "SUITE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925945",
            "telephone_number": "951-302-4603",
            "fax_number": "951-302-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44274 GEORGE CUSHMAN CT",
            "address_2": "SUITE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925945",
            "telephone_number": "951-302-4603",
            "fax_number": "951-302-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "DOUGLAS",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G820910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.