| Carriero Foot And Ankle, Inc | |
|
310 Santa Fe Dr Ste 112 Encinitas CA 92024-5123 | |
| (760) 642-7009 | |
| (760) 230-1453 |
| Full Name | Carriero Foot And Ankle, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 Santa Fe Dr Ste 112, Encinitas, California |
| Authorized Official Name and Position | Keenan S Carrieo (PODIATRIST) |
| Authorized Official Contact | 7606427009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carriero Foot And Ankle, Inc 1524 Shields Ave Encinitas CA 92024-2910 Ph: (760) 518-6184 | Carriero Foot And Ankle, Inc 310 Santa Fe Dr Ste 112 Encinitas CA 92024-5123 Ph: (760) 642-7009 |
| NPI Number | 1962891697 |
|---|---|
| Provider Enumeration Date | 01/19/2015 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 8325365463 |
|---|---|
| Medicare Enrollment ID | O20150330000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962891697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | E4509 (California) | Primary |
| Provider Name | Keenan S Carriero |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366534075 PECOS PAC ID: 7517950926 Enrollment ID: I20040402001517 |
| Provider Name | Zachary J Kramer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184241978 PECOS PAC ID: 9133598113 Enrollment ID: I20221214000931 |
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