JUAN C CARABALLO MD
NPI 1508125907
Internal Medicine - Critical Care Medicine in Daly City, CA

Active since May 07, 2012PECOS EnrolledAccepts Medicare Assignment
1900 SULLIVAN AVE, DALY CITY, CA 94015(319) 471-5877 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2024, Jan 28, 2022, Oct 28, 2019 (3 updates tracked since 2019).

About Juan C Caraballo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN C CARABALLO MD (NPI 1508125907) is an individual critical care medicine provider in Daly City, California, licensed in California (A137119) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1508125907
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameJUAN C CARABALLOCredential: MD
Location Address1900 SULLIVAN AVEDaly City, CA 94015-2200
Mailing Address1900 Sullivan AveDaly City, CA 94015-2200 · (319) 471-5877
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 7, 2012
Last NPPES UpdateJune 19, 20243 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1508125907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · A137119
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
1900 SULLIVAN AVE, Daly City, CA 94015

Other Names 1

Other Name (5)Juan Carlos Caraballo Fonseca

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

Juan C Caraballo Md 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.

PECOS PAC ID4486947827
PECOS Enrollment IDI20170406001864
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Juan Caraballo reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Critical Care Medicine
1900 SULLIVAN AVE
Daly City, CA 94015
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Pulmonary Disease
1100 VAN NESS AVE STE 1005
San Francisco, CA 94109
  • Reassigned Medicare billing, California enrollment
  • 28 clinicians in this Medicare group
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
Internal Medicine
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 1,216 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
111 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
104 services42 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
1900 SULLIVAN AVE, LOWER LEVEL
DALY CITY, CA 94015
General Acute Care Hospital
1900 SULLIVAN AVE
DALY CITY, CA 94015
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
Radiology (Radiation Oncology)
1900 SULLIVAN AVE, RADIATION ONCOLOGY DEPT
DALY CITY, CA 94015
Internal Medicine
1900 SULLIVAN AVE, LOWER LEVEL
DALY CITY, CA 94015
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
Nurse Practitioner (Family)
1900 SULLIVAN AVE
DALY CITY, CA 94015

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 Juan Caraballo's NPI number?

The NPI number for Juan Caraballo is 1508125907. It was assigned to this individual provider in the NPPES registry on May 7, 2012. The provider is also known as Juan Carlos Caraballo Fonseca.

Where is Juan Caraballo located?

Juan Caraballo practices at 1900 Sullivan Ave, Daly City, CA 94015. The listed phone number is (319) 471-5877.

What is Juan Caraballo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Juan Caraballo enrolled in Medicare?

Yes. Juan 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.

Which organizations bill Medicare for Juan Caraballo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Caraballo reassigns Medicare benefits to 8 organizations: Clarkian Medical (Daly City, CA), Regents Of The University Of California (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA), Permanente Medical Group Inc (San Francisco, CA) and 3 more organizations, listed in the Medicare section above. Each 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 Juan Caraballo'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 Juan Caraballo was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.