Heather Carriedo, MD is a
Pediatrics physician based in Grand Terrace, California. Heather Carriedo is licensed to practice in California (license number A64020) and her current practice location is 23251 Glendora Dr, Grand Terrace, California. She can be reached at her office (for appointments etc.) via phone at
(909) 825-0793.
NPI number for Heather Carriedo is 1922028406 and her current mailing address is 23251 Glendora Dr, Grand Terrace, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922028406.
Physician's Profile
Full Name | Heather Carriedo |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 23251 Glendora Dr, Grand Terrace, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922028406
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Heather Carriedo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922028406 | NPI | - | NPPES |
00A640200 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | A64020 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather Carriedo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Heather Carriedo, MD 23251 Glendora Dr, Grand Terrace, CA 92313-4965 Ph: (909) 825-0793 | Heather Carriedo, MD 23251 Glendora Dr, Grand Terrace, CA 92313-4965 Ph: (909) 825-0793 |
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