MEDICARE: DR. JOHN CHARLES CARUSO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	G081496	CA

General Provider Information

NPI Number	:	1134363294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN CHARLES CARUSO MD

Provider Business Mailing Address
First Line	:	3848 CAMPUS DR
Second Line	:	SUITE 120
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2610
Country	:	US
Telephone Number	:	949-724-9977
Fax Number	:	949-724-1758

Provider Business Practice Location Address
First Line	:	3848 CAMPUS DR
Second Line	:	SUITE 120
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2610
Country	:	US
Telephone Number	:	949-724-9977
Fax Number	:	949-724-1758

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2009
Last Update Date	:	04/20/2009

Similar Medicare Providers

1518045970 — JANE J XENOS DO
Practice Location Address:

3848 CAMPUS DR , SUITE 108
NEWPORT BEACH, CA
92660-2610

Practice Phone: 949-261-1227
Practice Fax: 949-261-7027

1073032256 — AMBER WORTHEN RD
Practice Location Address:

195 BROADWAY
NEWPORT, RI
02840-2610

Practice Phone: 401-619-0663
Practice Fax:

1639232507 — SACHIN PARANJAPE DMD
Practice Location Address:

45 NEWPORT AVE
QUINCY, MA
02171-2610

Practice Phone: 617-773-9902
Practice Fax: 617-773-9982

1013065366 — MELISSA MAHEU MS, RD, LDN
Practice Location Address:

195 BROADWAY
NEWPORT, RI
02840-2610

Practice Phone: 401-486-7089
Practice Fax:

1336343680 — YING GUO DDS
Practice Location Address:

45 NEWPORT AVE
QUINCY, MA
02171-2610

Practice Phone: 617-773-9902
Practice Fax:

1154605103 — EAT TO LIVE
Practice Location Address:

195 BROADWAY
NEWPORT, RI
02840-2610

Practice Phone: 401-486-7089
Practice Fax: 401-619-0949

Directions to “ DR. JOHN CHARLES CARUSO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.