Carlos Simon Usmany, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA15730 Issued in CA

Practice address

1704 W Manchester Ave Ste 101
Los Angeles, CA 90047-3056

Phone

(323) 778-6215

Fax

(323) 778-6312

NPI assigned

Feb 4, 2008

Last updated

Feb 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Morningside Primary Care Medical Ctr, Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1083643837
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1972781706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473056",
            "telephone_number": "323-778-6215",
            "fax_number": "323-778-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473056",
            "telephone_number": "323-778-6215",
            "fax_number": "323-778-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USMANY",
        "first_name": "CARLOS",
        "middle_name": "SIMON",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT COMMI",
            "identifier": "PA 15703",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ushc US Health Clinics
• Edwardo Usher Jr
• Fallyne Usher
• Wenonah Linette Usher, M.D.
• Daniel Z Uslan, M.D.
• Anastasia Usoeva, CMT
• Andrew Okon Usoro, MD
• Usrc Baldwin Hills LLC (US Renal Care Baldwin Hills Dialysis)
• Usrc Little Tokyo, LLC (U.S. Renal Care Little Tokyo Dialysis)
• Allison Ussery

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.