Carbon Health Alpha Primary Care of California PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CARBON HEALTH ALPHA PRIMARY CARE OF CALIFORNIA PC

Practice address

7831 Monticello Ave Ste 1102
Rancho Cucamonga, CA 91739-8879

Phone

(909) 285-2098

NPI assigned

Apr 7, 2022

Organization subpart

No

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 1

Addresses

Locations

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1376284786",
    "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": "7831 MONTICELLO AVE STE 1102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398879",
            "telephone_number": "909-285-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14117 Limonite Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Eastvale",
            "state": "CA",
            "postal_code": "928803864",
            "country_code": "US",
            "telephone_number": "951-210-7237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4550 Van Nuys Blvd Ste A4",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914032844",
            "country_code": "US",
            "telephone_number": "818-514-3631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARBON HEALTH ALPHA PRIMARY CARE OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "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": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canyon View Care Home, Inc
• Krista Kay Capp, BCBA
• Grace Huelgas Capul, SPEECH THERAPIST
• Karina Carabajal
• Juliette Rose Carachure
• Carbon Health Medical Group of California PC
• Maria Cristina Cardenas Lopez, RD
• Alexis Cardenas
• Alyssa Cardenas
• Nicolas Cardenas

• Primary Care Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Primary Care Clinic/Center in California

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