Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolina Ellinger da Fonseca, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689253403

Carolina Ellinger da Fonseca, MD is a Pediatric Medicine in San Francisco, California. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in California and Michigan.

Years since qualifying
5
Licensed in
CA, MI
In the registry since
2021
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1975 4th St
San Francisco, CA 94143-2351
Phone: (415) 514-4079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22201 Moross Rd Ste 80, Detroit, MI 48236-2169 — (313) 343-3800

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A196003 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Pediatrics Physician Taxonomy 208000000X · Licence 4351047788 (MI)

Record details

NPI number1689253403
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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