Individual provider Active NPI

Gerard Joaquim Carvalho, M.D.

  • Otolaryngology Physician
  • Hemet, CA
National Provider Identifier
1992721054
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A69700 Issued in CA
Practice address
118 N Santa Fe St
Ste B
Hemet, CA 92543-4441
Phone
(951) 925-8811
Fax
(951) 925-8860
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A69700 CA Primary

Addresses

Primary practice location

118 N Santa Fe St
Ste B
Hemet, CA 92543-4441

Mailing address

118 N Santa Fe St
Ste B
Hemet, CA 92543-4441
Phone (951) 925-8811

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
I20140306000250 CA Practitioner - Otolaryngology 8426288788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of California, San Francisco School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

118 N Santa Fe B
Hemet, CA 92543-4441

118 N Santa Fe St
Suite B
Hemet, CA 92543-4441
Phone (951) 925-8811

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69700CAMDDiabetes Educator Registered Nurse
A69700CAMDOtolaryngology Physician

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
California Ear, Nose, & Throat - Head & Neck Surgery Medical Corp. Otolaryngology CurrentSince Nov 30, 2013 Accepting new patients

Locations

118 N Santa Fe St
Ste B
Hemet, CA 92543
Phone (909) 925-8811

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1992721054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N SANTA FE ST",
            "address_2": "STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434441",
            "telephone_number": "951-925-8811",
            "fax_number": "951-925-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N SANTA FE ST",
            "address_2": "STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434441",
            "telephone_number": "951-925-8811",
            "fax_number": "951-925-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVALHO",
        "first_name": "GERARD",
        "middle_name": "JOAQUIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A69700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.