CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC NPI 1972045144

NPI Information

NPI: 1972045144
Provider Name: CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D2198385

Address:
411 GRAND AVE
OAKLAND, CA
ZIP 94610
Phone: (510) 844-4097
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CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC is a multi-specialty clinic center in Oakland, CA. CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC NPI is 1972045144. The provider is registered as an organization entity type.

The provider's business location address is:

411 GRAND AVE
OAKLAND, CA
ZIP 94610-022
Phone: (510) 844-4097

The provider's authorized official is Papa Gianna .
The authorized official title is Credentialing Manager and has the following contact phone number (415) 446-1733.

The CLIA number assigned to this NPI record is 05D2198385 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2016 and was last updated on 12/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	CALIFORNIA	No
2	208000000X	Pediatrics			No
3	261QM1300X	Clinic/Center	Multi-Specialty		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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