CARLOS FIGUEROA MD
NPI 1538854922
Family Medicine in Sacramento, CA
NPI Status: Active since April 10, 2023
Contact Information
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
Phone: (916) 731-7866
- Individual
- Male
- Family Medicine
- PECOS Enrolled
About CARLOS FIGUEROA
This page provides the complete NPI Profile along with additional information for Carlos Figueroa, a primary care provider established in Sacramento, California with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1538854922 assigned on April 2023. The practitioner's primary taxonomy code is 207Q00000X with license number 199276 (CA). The provider is registered as an individual and his NPI record was last updated March 2025.
- NPI
- 1538854922
- Provider Name
- CARLOS FIGUEROA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1201 ALHAMBRA BLVD STE 300 SACRAMENTO, CA 95816
- Location Phone
- (916) 731-7866
- Mailing Address
- 1201 ALHAMBRA BLVD STE 300 SACRAMENTO, CA 95816
- Mailing Phone
- (916) 731-7866
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-10-2023
- Last Update Date
- 03-30-2025
- Code Navigator
A primary care provider (PCP) like Carlos Figueroa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 199276
- License State
- CA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Carlos Figueroa is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95816 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $92.61
- Minimum New Patient Price $60.44
- Maximum New Patient Price $180.85
- Average New Patient Copayment $23.15
- Minimum New Patient Copayment $15.11
- Maximum New Patient Copayment $45.21
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.95
- Minimum Established Patient Price $19.88
- Maximum Established Patient Price $148.15
- Average Established Patient Copayment $26.48
- Minimum Established Patient Copayment $4.97
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for CARLOS FIGUEROA MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 8 | 5 | 4 | 9 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 16 | 5 | 8 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 1 + 6 + 5 + 8 + 9 + 4 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1538854922 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MEDA REBECCA PH.D.
Psychologist
(Clinical)
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
PETER ROBERTS
Family Medicine
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
DR. MEGAN L LUNG DO
Family Medicine
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
MS. YI CHEN PA-C
Physician Assistant
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
JOHANNA HSIN YING WU DO
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
DR. JACOB FREDRICK FREY MD
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
MEGAN M ASH MD
Family Medicine
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
DR. ASHLEY SCHMIDT
Family Medicine
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
STEVIE LYNNE BOGEL DO
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
PICHAYA PROMSATIT
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
SONIA GILL MD, MPH
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
KAYLA ALEXANDER
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
KRISTINA HOLT-REBER
Psychologist
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
GAYANE SAAKYAN
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
NICOLLE ANNE OCAMPO DO
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
JONCARMEN V MERGENTHALER MD
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
DR. JOHN HILLER DO
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
DR. JENNIFER DAZA MD
Family Medicine
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
THAI THANH VO DO
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
SAMANTHA RUNDLE
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 300
SACRAMENTO, CA
ZIP 95816
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538854922, enumerated as an "individual" on April 10, 2023.
The provider is located at 1201 ALHAMBRA BLVD STE 300 SACRAMENTO, CA 95816 and the phone number is (916) 731-7866.
Family Medicine with taxonomy code 207Q00000X.
