Active NPI
Gerard Joaquim Carvalho, M.D.
- Otolaryngology Physician
- Hemet, CA
National Provider Identifier
1992721054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A69700
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69700 | CA | MD | Diabetes Educator Registered Nurse |
| A69700 | CA | MD | Otolaryngology Physician |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Ear, Nose, & Throat - Head & Neck Surgery Medical Corp. | Otolaryngology | Current | 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.
-
- Otolaryngology Physician
- Hemet, CA
- NPI 1558553503
CA, Otolaryngology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.