Active NPI
Yolanda Matayoshi Carrera, MD
- Pediatrics Physician
- Harmon, GU
National Provider Identifier
1982829016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M000768
- Practice address
- 1757 Route 16
Suite 109
Harmon, GU 96929 - Phone
- (671) 649-1058
- Fax
- (671) 649-1057
- NPI assigned
- Apr 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M000768 | GU | Primary |
Addresses
Primary practice location
1757 Route 16
Suite 109
Harmon, GU 96929
Mailing address
1757 Route 16
Suite 109
Harmon, GU 96929
Phone (671) 649-1058
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M000768 | GU | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982829016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1757 ROUTE 16",
"address_2": "SUITE 109",
"city": "HARMON",
"state": "GU",
"postal_code": "96929",
"telephone_number": "671-649-1058",
"fax_number": "671-649-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1757 ROUTE 16",
"address_2": "SUITE 109",
"city": "HARMON",
"state": "GU",
"postal_code": "96929",
"telephone_number": "671-649-1058",
"fax_number": "671-649-1057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRERA",
"first_name": "YOLANDA",
"middle_name": "MATAYOSHI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GU",
"license": "M000768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harmon, GU
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.