Carbon Health Medical Group of Sunnyvale Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC

Practice address

109 S Las Posas Rd Ste 101
San Marcos, CA 92078-2419

Phone

(760) 258-4826

NPI assigned

Aug 9, 2023

Organization subpart

Yes

Parent organization

CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INCAs reported in NPPES

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

Authorized official

Name

Kaitlin Boyle

Title

Director

Phone

(303) 601-5392

Specialties & licenses 2

Addresses

Part of

Carbon Health Medical Group

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sujal Mandavia, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Los Angeles, CA
  • NPI 1992791164
  NPD (past)

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1124701800",
    "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": "109 S LAS POSAS RD STE 101",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782419",
            "telephone_number": "760-258-4826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6971 El Camino Real Ste 101",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920094114",
            "country_code": "US",
            "telephone_number": "760-258-4971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2484 Vista Way # 2484A",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920546199",
            "country_code": "US",
            "telephone_number": "760-421-5577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 S Centre City Pkwy Ste 1885B",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920256525",
            "country_code": "US",
            "telephone_number": "442-203-4936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-601-5392"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienna Marie Campos
• Denise Campuzano
• Jordyn Candlish
• Alyssa Belle Cantal-Czegledy, OTD, OTR/L, BCP
• Capalina Clinic
• Victor Cardenas Jr.
• Jessica Cardinale, RN
• Care Mesa Inc.
• Stephanie Katelynn Carlson-Hernandez
• Casey Jo Carlson, PT, DPT

• Urgent Care Clinic/Center in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.