Individual provider Active NPI

Carlos Garrett, M.D.

  • Internal Medicine Physician
  • City of Industry, CA
National Provider Identifier
1992714257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G058607 Issued in CA
Practice address
15707 Valley Blvd
City of Industry, CA 91744-3932
Phone
(626) 961-1152
Fax
(626) 330-0242
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G058607 CA Primary

Addresses

Primary practice location

15707 Valley Blvd
City of Industry, CA 91744-3932

Mailing address

1300 Loreto Dr
Glendale, CA 91207-1844
Phone (626) 961-1152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812003096 CA Practitioner - Internal Medicine 7214221845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58607CAMDPharmacist
G058607CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of California, a Medical Corporation Current Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Apr 23, 2023 Accepting new patients

Locations

6033 W Century Blvd
Ste 200
Los Angeles, CA 90045
Phone (310) 215-1600

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992714257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 LORETO DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071844",
            "telephone_number": "626-961-1152",
            "fax_number": "626-330-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15707 VALLEY BLVD",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917443932",
            "telephone_number": "626-961-1152",
            "fax_number": "626-330-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G058607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

Verify at the official NPI Registry.