Individual provider Active NPI

Nicole Carbo, M.D.

  • Diagnostic Radiology Physician
  • Sacramento, CA
National Provider Identifier
1902803059
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A61880 Issued in CA
Practice address
3161 L St
Sacramento, CA 95816-5234
Phone
(916) 453-9999
Fax
(916) 739-1099
NPI assigned
Jul 5, 2005
Last updated
Jul 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A61880 CA
Neuroradiology Physician 2085N0700X A61880 CA
Nuclear Radiology Physician 2085N0904X A61880 CA
Diagnostic Radiology Physician 2085R0202X A61880 CA Primary
Therapeutic Radiology Physician 2085R0203X A61880 CA
Vascular & Interventional Radiology Physician 2085R0204X A61880 CA
Radiological Physics Physician 2085R0205X A61880 CA
Diagnostic Ultrasound Physician 2085U0001X A61880 CA

Addresses

Primary practice location

3161 L St
Sacramento, CA 95816-5234

Mailing address

10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031203000753 CA Practitioner - Diagnostic Radiology 9436054392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

1640 E Roseville Pkwy
Suite 9
Roseville, CA 95661-3902
Phone (916) 784-2277

1651 Exposition Blvd
Sacramento, CA 95815-5149
Phone (916) 731-7770

1655 Creekside Dr
Folsom, CA 95630-3489
Phone (916) 984-0739

1661 Creekside Dr
Folsom, CA 95630-3489
Phone (916) 984-0739

2 Medical Plaza Dr
Roseville, CA 95661-3042

200 Mission Blvd
Jackson, CA 95642-2564
Phone (916) 733-3777

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

3133 Professional Dr
Auburn, CA 95603-2463
Phone (530) 885-8821

3161 L St
Sacramento, CA 95816-5234
Phone (916) 453-9999

8118 Timberlake Way
Sacramento, CA 95823-5400
Phone (916) 681-8852

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A61880CAMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Diagnostic Radiology Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 6, 2014 Accepting new patients
Insight Health Corp Past Accepting new patients
Radiological Associates of Sacramento Medical Group Inc Body Imaging Past Accepting new patients
Sutter Regional Medical Foundation Past Accepting new patients
Radiological Associates of Sacramento Medical Group Body Imaging Past Accepting new patients
Radiological Associates of Sacramento Medical Group Inc Body Imaging Past Accepting new patients

Locations (25 of 29)

3123 Professional Dr
Ste 100
Auburn, CA 95603
Phone (530) 888-8878

6620 Coyle Ave
Ste 110
Carmichael, CA 95608
Phone (916) 646-8300

2000 Sutter Pl
Davis, CA 95616
Phone (530) 756-6440

2020 Sutter Pl
Ste 101
Davis, CA 95616
Phone (530) 750-5830

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

1655 Creekside Dr
Folsom, CA 95630
Phone (916) 984-0739

1661 Creekside Dr
Folsom, CA 95630
Phone (916) 984-0739

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

1640 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 733-1970

1680 E Roseville Pkwy
#100
Roseville, CA 95661
Phone (916) 783-8114

2 Medical Plaza Dr
Ste 105
Roseville, CA 95661
Phone (916) 797-4700

2 Medical Plaza Dr
Ste 180
Roseville, CA 95661
Phone (916) 781-1225

3 Medical Plaza Dr
Ste 100
Roseville, CA 95661
Phone (916) 781-5188

3 Medical Plaza Dr
Ste 120
Roseville, CA 95661
Phone (916) 781-5080

1020 29th St
Ste 120
Sacramento, CA 95816
Phone (916) 453-9999

10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827

1201 Alhambra Blvd
Ste 140
Sacramento, CA 95816
Phone (916) 731-7860

2 Scripps Dr
Ste 110
Sacramento, CA 95825
Phone (916) 929-3393

2725 Capitol Ave
Ste 104
Sacramento, CA 95816

2725 Capitol Ave
Ste 106
Sacramento, CA 95816
Phone (916) 262-9301

2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2801 K St
Ste 110
Sacramento, CA 95816
Phone (916) 444-6194

2801 K St
Ste 502
Sacramento, CA 95816
Phone (877) 515-0053

3161 L St
Sacramento, CA 95816
Phone (916) 453-9999

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1902803059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 L ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165234",
            "telephone_number": "916-453-9999",
            "fax_number": "916-739-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBO",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A61880",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A61880",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "A61880",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A61880",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "CA",
            "license": "A61880",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A61880",
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "CA",
            "license": "A61880",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "A61880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.