Individual provider Active NPI

Carmen V. Ayroso, M.D.

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1881636413
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A31337 Issued in CA
Practice address
11748 Magnolia Ave #D
Riverside, CA 92503-4955
Phone
(951) 358-0141
Fax
(951) 358-0156
NPI assigned
Jun 11, 2006
Last updated
Aug 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A31337 CA Primary

Addresses

Primary practice location

11748 Magnolia Ave #D
Riverside, CA 92503-4955

Mailing address

200 Oceangate #100
Long Beach, CA 90802-4317
Phone (562) 499-6191

Other identifiers 2

IdentifierTypeStateIssuer
00A313370OtherCAMEDI CAL
00A31370MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A31337CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of California Family Medicine Past Accepting new patients
Molina Medical Centers Family Medicine Past Accepting new patients
Molina Healthcare of California Past Accepting new patients
Molina Healthcare of California Family Medicine Past Accepting new patients

Organizations & group practices 4

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1881636413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE #100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "562-499-6191",
            "fax_number": "562-499-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11748 MAGNOLIA AVE #D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034955",
            "telephone_number": "951-358-0141",
            "fax_number": "951-358-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYROSO",
        "first_name": "CARMEN",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A31337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "00A313370",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A31370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.