Individual
JOSEPH VINCENT DICARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3777 S BASCOM AVE, CAMPBELL, CA 95008-7320
(408) 558-3640
(408) 558-3674
Mailing address
1130 PARKINSON AVE, PALO ALTO, CA 94301-3448
(650) 804-5447
(408) 558-3674
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
50024
CA
2080P0203X
Pediatric Critical Care Medicine Physician
01097493A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
C50024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C500240
MEDI-CAL RENDERING NUMBER
CA
Enumeration date
11/22/2006
Last updated
09/02/2025
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