KEENAN SINCLAIR CARRIERO DPM NPI 1366534075

NPI Information

NPI: 1366534075
Provider Name: KEENAN SINCLAIR CARRIERO, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
310 SANTA FE DR STE 112
ENCINITAS, CA
ZIP 92024
Phone: (760) 642-7009
Get Directions

Keenan Sinclair Carriero, DPM is a foot and ankle surgery podiatrist in Encinitas, CA with 22 years of experience. Keenan Sinclair Carriero, DPM NPI is 1366534075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2002

The provider's business location address is:

310 SANTA FE DR STE 112
ENCINITAS, CA
ZIP 92024-123
Phone: (760) 642-7009
Fax: (760) 230-1453

The NPI 1366534075 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/29/2006 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	E4509	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03-0431018	OTHER	CALIFORNIA	TRICARE
2	GR0093170	MEDICAID	CALIFORNIA
3	ZZZ04918Z	OTHER	CALIFORNIA	BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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