DARRELL ANTHONY CARTER P.A.
NPI 1407047756
Physician Assistant in West Covina, CA

NPI Status: Active since August 01, 2007

Contact Information

1500 W WEST COVINA PKWY
WEST COVINA, CA
ZIP 91790
Phone: (626) 856-2226
Fax: (626) 960-5284

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  • Individual
  • Male
  • Physician Assistant
  • PECOS Enrolled

About DARRELL CARTER

This page provides the complete NPI Profile along with additional information for Darrell Carter, a primary care provider established in West Covina, California with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1407047756 assigned on August 2007. The practitioner's primary taxonomy code is 363A00000X with license number PA10429 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1407047756
Provider Name
DARRELL ANTHONY CARTER P.A.
Gender
Male
Entity Type
Individual
Location Address
1500 W WEST COVINA PKWY WEST COVINA, CA 91790
Location Phone
(626) 856-2226
Location Fax
(626) 960-5284
Mailing Address
777 FLOWER ST SUITE A GLENDALE, CA 91201
Mailing Phone
(818) 637-2000
Mailing Fax
(626) 960-5284
Is Sole Proprietor?
No
Enumeration Date
08-01-2007
Last Update Date
04-14-2011
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A primary care provider (PCP) like Darrell Carter 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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA10429
License State
CA
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
S11572MEDICARE UPIN (02)CA 
DC503ZMEDICARE PIN (08)CA 

Medicare Participation & PECOS Enrollment Status

Darrell Carter 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 91790 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.36
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $24.09
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $77.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $19.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* 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.

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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.
1407047756
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24070414710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 0 + 4 + 1 + 4 + 7 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1407047756 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073561346DR. ADELAIDE WILLIS MD
Individual
Family Medicine1500 W WEST COVINA PKWY
WEST COVINA, CA 91790
(626) 960-8614
1679522270DR. KAMEL AZMY M.D.
Individual
Pediatrics1500 W WEST COVINA PKWY STE 201
WEST COVINA, CA 91790
(626) 263-7020
1679523682DR. SUNEETHA SAJID ALI M.D.
Individual
Obstetrics & Gynecology1500 W WEST COVINA PKWY STE 203
WEST COVINA, CA 91790
(626) 263-7030
1497705289DR. VAN HONG DUONG M.D.
Individual
Family Medicine1500 W WEST COVINA PKWY STE 101
WEST COVINA, CA 91790
(626) 263-7020
1477561496MS. CLARA EDOBOR NP
Individual
Nurse Practitioner1500 W WEST COVINA PKWY
WEST COVINA, CA 91790
(626) 430-9996
1386789311WEST COVINA MEDICAL CLINIC
Organization
Family Medicine1500 W WEST COVINA PKWY
WEST COVINA, CA 91790
(626) 960-8614
1801051784LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Organization
Family Medicine1500 W WEST COVINA PKWY
WEST COVINA, CA 91790
(626) 430-9991
1922057256DR. RUTH MANJULA KARUNANANTHAN M.D.
Individual
Internal Medicine1500 W WEST COVINA PKWY STE 102
WEST COVINA, CA 91790
(626) 263-7010
1679523906DR. TEI CHEN WANG M.D.
Individual
Internal Medicine1500 W WEST COVINA PKWY STE 100
WEST COVINA, CA 91790
(626) 856-2226
1023483385MR. KAMLESH T MANIA
Individual
Pharmacist1500 W WEST COVINA PKWY SUITE 100
WEST COVINA, CA 91790
(626) 338-7233
1114082542PNK PHARMACY, INC.
Organization
Pharmacy (Community/Retail Pharmacy)1500 W WEST COVINA PKWY STE 100
WEST COVINA, CA 91790
(626) 338-7233
1114040235MR. ELIOT ALAN WARON PA-C
Individual
Physician Assistant1500 W WEST COVINA PKWY STE 102
WEST COVINA, CA 91790
(818) 295-5920

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407047756, enumerated in the NPI registry as an "individual" on August 01, 2007

The provider is located at 1500 W West Covina Pkwy West Covina, Ca 91790 and the phone number is (626) 856-2226

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $96.36 with an average copayment of $24.09 for new patient appointments. Established patients should expect a typical charge of $77.96 and an average copayment of 19.49. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.