Active NPI
Carlos Raul Carrera, A.A.
- Rehabilitation Practitioner
- La Puente, CA
National Provider Identifier
1891811162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 160 S 7TH Ave
La Puente, CA 91746-3211 - Phone
- (626) 961-8971
- NPI assigned
- Mar 21, 2007
- Last updated
- Aug 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
160 S 7TH Ave
La Puente, CA 91746-3211
Mailing address
25 Westmont Dr Apt 11
Alhambra, CA 91801-2939
Phone (626) 393-1052
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)
- Not enrolled
- Credentials
- Associate of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1891811162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 WESTMONT DR APT 11",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918012939",
"telephone_number": "626-393-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 S 7TH AVE",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917463211",
"telephone_number": "626-961-8971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRERA",
"first_name": "CARLOS",
"middle_name": "RAUL",
"name_prefix": "Mr.",
"credential": "A.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.