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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 - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

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

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 (617) 894-1718.

The enumeration date for this NPI number is 11/4/2016 and was last updated on 2/7/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2261QU0200XClinic/CenterUrgent CareCALIFORNIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.