Active NPI
Freddie Carabajal, ATC
- Legal Medicine
- Tempe, AZ
National Provider Identifier
1912930306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 0462
- Practice address
- 8701 S Hardy Dr
Tempe, AZ 85284-2800 - Phone
- (602) 379-1713
- NPI assigned
- Jul 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 0462 | AZ | Primary |
Addresses
Primary practice location
8701 S Hardy Dr
Tempe, AZ 85284-2800
Mailing address
PO Box 888
Phoenix, AZ 85001-0888
Phone (602) 379-1713
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0462 | AZ | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912930306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 888",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850010888",
"telephone_number": "602-379-1713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 S HARDY DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852842800",
"telephone_number": "602-379-1713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARABAJAL",
"first_name": "FREDDIE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "AZ",
"license": "0462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.