EMILY JANE CARVAJAL FNP-BC
NPI 1639024953
Nurse Practitioner - Primary Care in Glendale, CA
About Emily Jane Carvajal Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY JANE CARVAJAL FNP-BC (NPI 1639024953) is an individual primary care provider in Glendale, California, licensed in California (95036672) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emily Jane Carvajal Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Emily Carvajal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pasadena, CA 91101
- Reassigned Medicare billing, California enrollment
- 241 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 91206 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.
GLENDALE, CA 91206
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 Emily Carvajal's NPI number?
The NPI number for Emily Carvajal is 1639024953. It was assigned to this individual provider in the NPPES registry on March 2, 2026.
Where is Emily Carvajal located?
Emily Carvajal practices at 1509 Wilson Ter, Glendale, CA 91206. The listed phone number is (818) 319-5330.
What is Emily Carvajal's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Emily Carvajal enrolled in Medicare?
Yes. Emily Carvajal is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Emily Carvajal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emily Carvajal reassigns Medicare benefits to Carbon Health Medical Group Of California PC (Pasadena, 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 Emily Carvajal'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 Emily Carvajal was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Emily Jane Carvajal, FNP-BC · NPI 1639024953
Primary Care physician in Glendale, California. Individual provider, active in the CMS NPPES registry since March 2, 2026.
## Identity
- **NPI:** 1639024953 (Entity type: Individual)
- **Enumerated:** March 2, 2026
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95036672 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1509 WILSON TER, Glendale, CA 91206-4007
- **Phone:** (818) 319-5330
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Carbon Health Medical Group Of California PC (NPI 1255957205, Pasadena, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639024953) · Data from the CMS NPPES public registry.