Organization Active NPI

Alex Carcamo MD, Inc.

  • Dermatopathology Physician
  • Palo Alto, CA
National Provider Identifier
1881937191
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
Legal business name
ALEX CARCAMO MD, INC.
Practice address
853 Middlefield Rd Ste 1
Palo Alto, CA 94301-2920
Phone
(650) 933-3421
NPI assigned
Apr 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Laura Smith
Title
General Manager
Phone
(650) 933-3421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X Primary

Addresses

Primary practice location

853 Middlefield Rd Ste 1
Palo Alto, CA 94301-2920

Mailing address

590 Farrington Hwy # 524-204
Kapolei, HI 96707-2009

National Provider Directory

National Provider Directory

Locations

853 Middlefield Rd
Ste 1
Palo Alto, CA 94301
Phone (617) 290-4371

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1881937191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY # 524-204",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 MIDDLEFIELD RD STE 1",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012920",
            "telephone_number": "650-933-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX CARCAMO MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "650-933-3421"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.