NPIMap

Organization Active NPI

Carbon Health Medical Group of California PC

  • Non-Pharmacy Dispensing Site
  • San Mateo, CA
National Provider Identifier
1134849045
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
46 Hillsdale Mall
San Mateo, CA 94403-3407
Phone
(650) 769-5612
NPI assigned
Aug 31, 2022
Organization subpart
Yes
Parent organization
CARBON HEALTH PRIMARY CARE OF CALIFORNIA PCAs reported in NPPES

Authorized official

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

National Provider Directory

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

Other organizations with this tax ID 15

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

View all 15

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

46 Hillsdale Mall
San Mateo, CA 94403-3407

Mailing address

300 California St FL 7
San Francisco, CA 94104-1415

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2025.

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1134849045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CALIFORNIA ST FL 7",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941041415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 HILLSDALE MALL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033407",
            "telephone_number": "650-769-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARBON HEALTH PRIMARY CARE OF CALIFORNIA PC",
        "enumeration_date": "2022-08-31",
        "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 San Mateo, 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.