Search › California › 207Q00000X
John Carollo
NPI 1558518290 · on the registry since 2008 · sole proprietor
Practice
- Address
- 5555 Montgomery Dr Apt 36
Santa Rosa, CA 95409 - Phone
- (707) 579-6896
- Organisation at this address
- Covia Communities
Ida Jahed, Md, Inc.
Rujju Consultants Llc
Front Porch Communities And Services
Northern California Medical Assoc IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207QG0300X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California