CAROL VAN PETTEN M.D. – NPI #1851509244
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CAROL VAN PETTEN is a psychiatry & neurologist located in RIVERSIDE, CA. NPPES has assigned the NPI number 1851509244 to CAROL VAN PETTEN on May 18, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name CAROL VANPETTEN. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 4 years ago on Dec 07, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROL VAN PETTEN below.

NPI Profile for
CAROL VANPETTEN

NPI Number
1851509244
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CAROL VANPETTEN
Professional Name: CAROL VAN PETTEN
Credentials
M.D.
Primary location
DEPT NEUROLOGY KAISER PERMANENTE
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Phone: (951) 353-4746 Fax:
Mailing address
DEPT. NEUROLOGY
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Phone: (951) 353-4746 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Dec 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
CA GO59609

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Endpoint type
SOAP URL
Endpoint Description
CAREQUALITY
Content Type
OTHER
Affiliation
Y
Endpoint Location
10800 MAGNOLIA AVE,
RIVERSIDE, CA 77025-1669