Andrew Scott Carson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

684904 Issued in CA

Practice address

532 Santa Rita PL
Banning, CA 92220-1948

Phone

(951) 797-3166

NPI assigned

Apr 12, 2022

Last updated

Apr 12, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ferrees Group Home, Inc

  • Case Management Agency
  • Banning, CA
  • NPI 1881288215
  NPD

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1982346565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 SANTA RITA PL",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922201948",
            "telephone_number": "951-797-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 SANTA RITA PL",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922201948",
            "telephone_number": "951-797-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "684904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Cardenas, PPS
• Laura Cardenas
• Samara Yael Cardona Espinoza
• Careridesolutions
• Benjamin Patrick Carrillo-Sanchez, MFTI
• Joshua Bryan Castillo
• Mayella Castillo
• Adam Abel Castro, LPCC 9442
• Angelica Castro, LMFT
• Diane M Castro

• Licensed Vocational Nurse in Banning, CA
• Providers in Banning, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.