Provider Demographics
NPI:1588980163
Name:CARPIO, JOVITA (MD)
Entity type:Individual
Prefix:
First Name:JOVITA
Middle Name:
Last Name:CARPIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOVITA
Other - Middle Name:MORALES
Other - Last Name:CARPIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:18927 SARA PARK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070
Mailing Address - Country:US
Mailing Address - Phone:408-996-9481
Mailing Address - Fax:
Practice Address - Street 1:18927 SARA PARK CIRCLE
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070
Practice Address - Country:US
Practice Address - Phone:408-996-9481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAFE23165207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology