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Deactivated NPI 1962575076 Deactivated / Inactive NPI Male Practitioner

Jim Carson

Rehabilitation Practitioner • Fullerton, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jim Carson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 16, 2006
NPI Deactivation Date December 16, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Jim Carson was a registered Rehabilitation Practitioner practicing in Fullerton, CA. Throughout an active medical career spanning 16 years, Jim Carson provided care at the practice location at 100 E VALLEY VIEW DR until profile deactivation on 2022-12-16.

Practice Location & Contact Primary Location

Practice Address

100 E Valley View Dr

Fullerton, CA 928321321

Telephone 7146809012
Associated Practice Facility / Clinic
🏢 Crittenton Services Facility NPI 1033497003

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Fullerton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
120 Specialists

Practicing in Fullerton, CA (14127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Deborah Branch , CD CERTIFICATION

Rehabilitation Practitioner

NPI 1093853194

CDCERTIFICATION

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 16, 2022

Record deactivated on December 16, 2022

NPI Profile Active June 27, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 27, 2013

Registered at 100 E VALLEY VIEW DR, FULLERTON, CA 928321321 (Tel: 7146809012)

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Updated Business Mailing Address June 27, 2013

Registered at 100 E VALLEY VIEW DR, FULLERTON, CA 928321321 (Tel: 7146809012)

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Provider Name / Credentials Updated June 27, 2013

Recorded as JIM CARSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2013

Rehabilitation Practitioner

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Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962575076
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: June 27, 2013
Deactivation Date: December 16, 2022

Mailing Address

100 E Valley View Dr

Fullerton, CA 928321321

Phone: 7146809012

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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