Look up the most recent NPI and PECOS records

Carla C Valentine

Emergency Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as CARLA VALENTINE.

Based on the most recent information from CMS, provider Carla C Valentine is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:36 AM.

Profile Details

Provider ID
1508808387
Provider Type
Individual
Full Name
Valentine, Carla C
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/13/2006
Last Updated
4/1/2010

Contact Information

Practice Location

Pueblo At Bath, Santa Barbara, CA 93105

(805) 682-7111

Unlisted Fax

Mailing Location

PO Box 10040, Westminster, CA 92685-0040

(800) 358-8179

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A77013 California

Provider Identifiers

ID	Description	Issuer
ID 00A770130	Description Medicaid	Issuer Unlisted California

Carla C Valentine

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Ruben, Jason B

Lambert, Christopher V

Morris, Jason Lee

Stormo, Owen J

Moharir, Vikrant

Zapalac, Susan C

Strumpf, David M.

Yao, Steven K

Houston, Kyle Jacob