Eric R Carlblom, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G65524 Issued in CA

Practice address

2425 Porter St
Suite 6
Soquel, CA 95073-2444

Phone

(831) 462-1500

Fax

(831) 462-1503

NPI assigned

Jul 24, 2006

Last updated

Feb 18, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eric R. Carlblom, MD.,PC

  • Orthopaedic Hand Surgery Physician
  • Soquel, CA
  • NPI 1962698167
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1063434207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950730339",
            "telephone_number": "831-462-1500",
            "fax_number": "831-462-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PORTER ST",
            "address_2": "SUITE 6",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732444",
            "telephone_number": "831-462-1500",
            "fax_number": "831-462-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLBLOM",
        "first_name": "ERIC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G65524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G655240",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962698167",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorraine Kay Butterworth, MED, MA, PSYD ASSOC.
• McKenzie Caborn, WHNP
• Lorraine Susan Cahn, MFT
• Lawrence Calderon, D.C.
• Victoria A Campbell, LMFT
• Michelle Katsky Caron
• Katelyn Carson, CMT
• Eileen Wheeler Cavalier, LMFT
• Center for Youth Mental Health (Center for Child and Adolescent Mental Health)
• Central Coast Gastroenterology Associates Inc

• Specialist in Soquel, CA
• Providers in Soquel, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.