Provider Demographics
NPI:1760684757
Name:SIGMON, CARTER HARRISON (MD)
Entity type:Individual
Prefix:DR
First Name:CARTER
Middle Name:HARRISON
Last Name:SIGMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9227
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92067-4227
Mailing Address - Country:US
Mailing Address - Phone:858-255-1969
Mailing Address - Fax:858-759-6729
Practice Address - Street 1:16089 SAN DIEGUITO RD, H102
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA FE
Practice Address - State:CA
Practice Address - Zip Code:92067
Practice Address - Country:US
Practice Address - Phone:858-255-1969
Practice Address - Fax:858-759-6729
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA134602208VP0014X, 204C00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports MedicineGroup - Single Specialty