NPIMap

Organization Active NPI

Carbon Health Medical Group of California PC

  • Non-Pharmacy Dispensing Site
  • Culver City, CA
National Provider Identifier
1013780360
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
Practice address
8900 Venice Blvd Ste 109
Culver City, CA 90232-2361
Phone
(424) 282-5696
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marley Page
Title
Director
Phone
(417) 861-9739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

8900 Venice Blvd Ste 109
Culver City, CA 90232-2361

Mailing address

2100 Franklin St Ste 355
Oakland, CA 94612-3140
Phone (415) 446-1733

National Provider Directory

National Provider Directory
Tax ID family
Carbon Health Primary Care of California PC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

8900 Venice Blvd
Ste 109
Culver City, CA 90232
Phone (310) 295-9029

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1013780360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 FRANKLIN ST STE 355",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123140",
            "telephone_number": "415-446-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VENICE BLVD STE 109",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322361",
            "telephone_number": "424-282-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-861-9739"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.