Organization Active NPI

Carriero Foot and Ankle Inc

  • Clinic/Center
  • Encinitas, CA
National Provider Identifier
1962891697
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
E4509 Issued in CA
Legal business name
CARRIERO FOOT AND ANKLE INC
Practice address
310 Santa Fe Dr Ste 112
Encinitas, CA 92024-5123
Phone
(760) 642-7009
Fax
(760) 230-1453
NPI assigned
Jan 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Keenan S Carrieo, DPM
Title
Podiatrist
Phone
(760) 642-7009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X E4509 CA Primary

Addresses

Primary practice location

310 Santa Fe Dr Ste 112
Encinitas, CA 92024-5123

Mailing address

1524 Shields Ave
Encinitas, CA 92024-2910
Phone (760) 518-6184

Other practice location 1

320 Santa Fe Dr
Suite LL4
Encinitas, CA 92024-5138
Phone (760) 642-7009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150330000135 CA Part B Supplier - Clinic/Group Practice 8325365463 Receives reassigned benefits from 2 practitioners
Practice locations: Encinitas, CA
O20150902002509 CA DME Supplier - Physician - Podiatry 8325365463 Practice locations: Encinitas, CA
O20250521001193 AL Part B Supplier - Clinic/Group Practice 8325365463 Receives reassigned benefits from 1 practitioner
Practice locations: Gulf Shores, AL

National Provider Directory

National Provider Directory

Locations

1404 W 1st St
Gulf Shores, AL 36542

1404 W 1st St
Ste B
Gulf Shores, AL 36542
Phone (251) 265-2188

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13596/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1962891697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 SHIELDS AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242910",
            "telephone_number": "760-518-6184",
            "fax_number": "760-753-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SANTA FE DR STE 112",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245123",
            "telephone_number": "760-642-7009",
            "fax_number": "760-230-1453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Santa Fe Dr",
            "address_2": "Suite LL4",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245138",
            "country_code": "US",
            "telephone_number": "760-642-7009",
            "fax_number": "760-753-5351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARRIERO FOOT AND ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "CARRIEO",
        "authorized_official_first_name": "KEENAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "760-642-7009",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "E4509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.