Brendt D. Carlson, MD Inc Dba Mar Monte Medical Clinic

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

A41986 Issued in CA

Legal business name

BRENDT D. CARLSON, MD INC DBA MAR MONTE MEDICAL CLINIC

Practice address

846 Freedom Blvd
Watsonville, CA 95076-3814

Phone

(831) 761-7225

Fax

(831) 761-1178

NPI assigned

Jun 11, 2012

Organization subpart

No

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

Authorized official

Name

Alma Castillo

Title

Clinic Manager

Phone

(831) 761-7225

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1174885610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 FREEDOM BLVD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763814",
            "telephone_number": "831-761-7225",
            "fax_number": "831-761-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 FREEDOM BLVD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763814",
            "telephone_number": "831-761-7225",
            "fax_number": "831-761-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDT D. CARLSON, MD INC DBA MAR MONTE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "831-761-7225"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "A41986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrisitna Bocanegra Cabral
• Clinton Bonds
• Melissa Booth-Simonsen, BCBA
• Ana Guadalupe Borrayo Garcia
• Nicholas Paul Boswell, DPT, PT
• Mark Ian Brenis, DPM
• Brennan Medical Corporation
• Brennan Medical Group
• Jonathan P Briggs
• Pamela Ann Brown, CHIROPRACTOR DC

• Exclusive Provider Organization in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.