Provider Demographics
NPI:1497737480
Name:ORLANDO, CARLO ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLO
Middle Name:ANTHONY
Last Name:ORLANDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 POSADA LN STE A
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465-4003
Mailing Address - Country:US
Mailing Address - Phone:805-781-6644
Mailing Address - Fax:805-434-5502
Practice Address - Street 1:322 POSADA LN STE A
Practice Address - Street 2:
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-4003
Practice Address - Country:US
Practice Address - Phone:805-871-6644
Practice Address - Fax:805-434-5502
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69944207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARHD134426OtherX-RAY SUPERVISOR & OPERAT
CA00G699440Medicaid
CAG69944OtherMEDICAL BOARD
CAWG69944EMedicare ID - Type Unspecified
CA00G699440Medicaid