Individual provider Active NPI

Frederick Andrew Carbone, D.C.

  • Chiropractor
  • Santa Maria, CA
National Provider Identifier
1891868816
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
21258 Issued in CA
Practice address
4850 S Bradley Rd
#A-1
Santa Maria, CA 93455-5071
Phone
(805) 934-5757
Fax
(805) 934-5758
NPI assigned
Nov 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 21258 CA Primary

Addresses

Primary practice location

4850 S Bradley Rd
#A-1
Santa Maria, CA 93455-5071

Mailing address

4850 S Bradley Rd
#A-1
Santa Maria, CA 93455-5071
Phone (805) 934-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051216000239 CA Practitioner - Chiropractic 4284655481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4850 S Bradley Rd
Santa Maria, CA 93455-5071
Phone (805) 934-5757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carbone Chiropractic Center, Inc. Chiropractor CurrentSince Oct 1, 2005 Accepting new patients

Locations

4850 S Bradley Rd
Ste A1
Santa Maria, CA 93455
Phone (805) 934-5757

Organizations & group practices 1

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891868816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 S BRADLEY RD",
            "address_2": "#A-1",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555071",
            "telephone_number": "805-934-5757",
            "fax_number": "805-934-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 S BRADLEY RD",
            "address_2": "#A-1",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555071",
            "telephone_number": "805-934-5757",
            "fax_number": "805-934-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "FREDERICK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.