Organization Active NPI

Carrum Health, Inc.

  • Exclusive Provider Organization
  • San Mateo, CA
National Provider Identifier
1093437857
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
CARRUM HEALTH, INC.
Practice address
951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560
Phone
(888) 855-7806
NPI assigned
Sep 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Dan Nardi
Title
Coo
Phone
(619) 415-3044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560

Mailing address

951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1093437857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 MARINERS ISLAND BLVD STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MARINERS ISLAND BLVD STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041560",
            "telephone_number": "888-855-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRUM HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "NARDI",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "619-415-3044"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.