DR. CARLOS CARRIEDO DO
NPI 1174217434
Internal Medicine in San Ysidro, CA
About Dr. Carlos Carriedo Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARLOS CARRIEDO DO (NPI 1174217434) is an individual internal medicine provider in San Ysidro, California, licensed in California (25543) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Carlos Carriedo Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Carlos Carriedo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Ysidro, CA 92173
- Reassigned Medicare billing, California enrollment
- 577 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92173 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN YSIDRO, CA 92173
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carlos Carriedo's NPI number?
The NPI number for Carlos Carriedo is 1174217434. It was assigned to this individual provider in the NPPES registry on June 7, 2023.
Where is Carlos Carriedo located?
Carlos Carriedo practices at 4004 Beyer Blvd, San Ysidro, CA 92173. The listed phone number is (619) 662-4100.
What is Carlos Carriedo's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Carlos Carriedo enrolled in Medicare?
Yes. Carlos Carriedo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Carlos Carriedo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Carriedo reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro, Inc. (San Ysidro, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Carriedo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carlos Carriedo was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Carlos Carriedo, DO · NPI 1174217434
Internal Medicine physician in San Ysidro, California. Individual provider, active in the CMS NPPES registry since June 7, 2023.
## Identity
- **NPI:** 1174217434 (Entity type: Individual)
- **Enumerated:** June 7, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25543 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4004 BEYER BLVD, San Ysidro, CA 92173-2007
- **Phone:** (619) 662-4100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Centro De Salud De La Comunidad De San Ysidro, Inc. (NPI 1164641965, San Ysidro, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174217434) · Data from the CMS NPPES public registry.