NPI

Mark Maxilom De Carvalho

NPI 1306509971

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
APRN, FNP-C
Type
Individual
Enumeration date
2021-10-20
Last updated
2026-03-11

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Specialties

Licenses

License NY
349083
License FL
TPAN3116
License IL
277004816
License TX
1099927
License CO
APN.1001430-NP
License NJ
26NJ01261800
License NV
860179
License MN
12488
License AZ
319429
License ID
5571183
License CA
95025693
License VT
101.0138405TELE
License PA
SP024314
License NM
86375
License UT
14244166-4405

Location

Practice location
914 N Coast Highway 101
City
Encinitas CA
Postal code
92024-2074
Phone
(202) 932-9958

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Encinitas, CA. 2,488 records in the public file.

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