Mary Joy Caritos, NP
Individual provider Active NPI Gerontology Nurse Practitioner · Carson, CA
NPI 1871208009 · NPPES record last updated Apr 10, 2023
Key facts
- NPI
- 1871208009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 95022930 (CA)
- Practice address
- 21724 Ravenna Ave
Carson, CA 90745-3129 - Phone
- (310) 381-9381
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prohealth Partners, a Medical Group
Practice addresses (Care Compare)
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 728-5034
Hospital & facility affiliations
- Memorialcare Long Beach Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 38.53 of 100
- Quality
- 20.07
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 75.03
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230531003186 | CA | Practitioner - Nurse Practitioner | 6002273380 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95022930 | CA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Partners, a Medical Group | Current | Accepting new patients | |
| Inpatient Specialists of California, PC | Current |
Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Current |
Accepting new patients | |
| Supportive Care Specialists | Current |
Accepting new patients | |
| Goldencast Medical Corporation | Current |
Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Current |
Accepting new patients | |
| Prohealth Partners a Medical Group Inc | Past | Accepting new patients |
Locations
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546
File 54567
Los Angeles, CA 90074
Phone (310) 491-9060
1494 S Robertson Blvd
Ste 200A
Los Angeles, CA 90035
Phone (626) 442-5200
550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290
16453 Colorado Ave
Paramount, CA 90723
Phone (562) 408-7427
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 95022930 | CA | Yes |
Addresses
Primary practice location
21724 Ravenna Ave
Carson, CA 90745-3129
Mailing address
21724 Ravenna Ave
Carson, CA 90745-3129
Phone (310) 381-9381
Other providers in Carson, CA
- Care Dental Center
- Care Providers Medical Services, LLC
- Carepointe Home Health Services, Inc.
- Westley Luke Cariaga
- Caringminds Services, Inc.
- Caroldale Home
- Nathaniel O Carpena
- Carson Adult Day Health Care Center,Inc.
- Carson Artificial Kidney Center, LLC
- Carson Eye Care Optometry, Inc
All providers in Carson, CA · Gerontology Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.