Active NPI
Carriero Foot and Ankle Inc
- Clinic/Center
- Encinitas, CA
National Provider Identifier
1962891697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- E4509
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AL
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
1404 W 1st St
Gulf Shores, AL 36542
1404 W 1st St
Ste B
Gulf Shores, AL 36542
Phone (251) 265-2188
Interoperability endpoints
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Encinitas, CA
- NPI 1366534075
AL, CA, Foot & Ankle Surgery
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.