Active NPI
Carbon Health Medical Group of California PC
- Multi-Specialty Clinic/Center
- San Jose, CA
National Provider Identifier
1043852999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
- Practice address
- 4150 N 1St St
San Jose, CA 95134-1513 - Phone
- (669) 200-4558
- NPI assigned
- Oct 11, 2019
- Organization subpart
- Yes
- Parent organization
- CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marley Page
- Title
- Director
- Phone
- (303) 601-5392
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
4150 N 1St St
San Jose, CA 95134-1513
Mailing address
300 California Ave FL
San Francisco, CA 94130-1708
Other practice location 1
132 Vintage Way Ste F5
Novato, CA 94945-5026
Phone (628) 203-9029
Other practice location 2
303 Corte Madera Town Ctr # 303
Corte Madera, CA 94925-1207
Phone (415) 840-8615
Other practice location 3
1679 E Monte Vista Ave Ste 104
Vacaville, CA 95688-3123
Phone (707) 624-7400
Other practice location 4
411 3rd St
San Rafael, CA 94901-3548
Phone (415) 854-7159
National Provider Directory
National Provider Directory- Tax ID family
- Carbon Health Medical Group
- Part of
- Carbon Health Medical Group
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Fairfield, CA
- NPI 1215574462
-
- Urgent Care Clinic/Center
- San Francisco, CA
- NPI 1295455194
-
- Multi-Specialty Clinic/Center
- Pasadena, CA
- NPI 1578109419
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1710529656
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1750001657
-
- Urgent Care Clinic/Center
- Seattle, WA
- NPI 1710590179
Locations
132 Vintage Way
Ste F5
Novato, CA 94945
Phone (415) 539-3241
300 California Ave
San Francisco, CA 94130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750809600000",
"number": "1043852999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CALIFORNIA AVE FL",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941301708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 N 1ST ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951341513",
"telephone_number": "669-200-4558"
}
],
"practiceLocations": [
{
"address_1": "132 Vintage Way Ste F5",
"address_purpose": "LOCATION",
"city": "Novato",
"state": "CA",
"postal_code": "949455026",
"country_code": "US",
"telephone_number": "628-203-9029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 Corte Madera Town Ctr # 303",
"address_purpose": "LOCATION",
"city": "Corte Madera",
"state": "CA",
"postal_code": "949251207",
"country_code": "US",
"telephone_number": "415-840-8615",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1679 E Monte Vista Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "956883123",
"country_code": "US",
"telephone_number": "707-624-7400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 3rd St",
"address_purpose": "LOCATION",
"city": "San Rafael",
"state": "CA",
"postal_code": "949013548",
"country_code": "US",
"telephone_number": "415-854-7159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC",
"enumeration_date": "2019-10-11",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A",
"authorized_official_last_name": "PAGE",
"authorized_official_first_name": "MARLEY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "303-601-5392"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.