MR. JOHNNY DIONISIO CARABALLO PA-C
NPI 1225326549
Physician Assistant - Medical in Anaheim, CA
About Mr. Johnny Dionisio Caraballo Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHNNY DIONISIO CARABALLO PA-C (NPI 1225326549) is an individual medical provider in Anaheim, California, licensed in California (PA21696) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Johnny Dionisio Caraballo Pa-c 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 Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ANAHEIM, CA 92804
ANAHEIM, CA 92804
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 Johnny Caraballo's NPI number?
The NPI number for Johnny Caraballo is 1225326549. It was assigned to this individual provider in the NPPES registry on July 20, 2011.
Where is Johnny Caraballo located?
Johnny Caraballo practices at 631 S Brookhurst St Ste 101, Anaheim, CA 92804. The listed phone number is (949) 297-3888.
What is Johnny Caraballo's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Johnny Caraballo enrolled in Medicare?
Yes. Johnny Caraballo 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.
When was this NPI record last updated?
The NPPES record for Johnny Caraballo was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Mr. Johnny Dionisio Caraballo, PA-C · NPI 1225326549
Medical physician in Anaheim, California. Individual provider, active in the CMS NPPES registry since July 20, 2011.
## Identity
- **NPI:** 1225326549 (Entity type: Individual)
- **Enumerated:** July 20, 2011
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA21696 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 631 S BROOKHURST ST STE 101, Anaheim, CA 92804-3563
- **Phone:** (949) 297-3888
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225326549) · Data from the CMS NPPES public registry.