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JOHN ANDREW CAROLLO NPI 1558518290


NPI Information

NPI: 1558518290
Provider Name: JOHN ANDREW CAROLLO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
5555 MONTGOMERY DR APT 36
SANTA ROSA, CA
ZIP 95409
Phone: (707) 579-6896
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John Andrew Carollo is a family medicine in Santa Rosa, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John Andrew Carollo NPI is 1558518290. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5555 MONTGOMERY DR APT 36
SANTA ROSA, CA
ZIP 95409-597
Phone: (707) 579-6896

The enumeration date for this NPI number is 8/25/2008 and was last updated on 8/25/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineAFE18635CALIFORNIANo
2207Q00000XFamily MedicineAFE18635CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.