Organization Active NPI

Carbon Health Alpha Primary Care of Florida PA

  • Primary Care Clinic/Center
  • Reno, NV
National Provider Identifier
1548916042
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CARBON HEALTH ALPHA PRIMARY CARE OF FLORIDA PA
Practice address
5067 S McCarran Blvd
Reno, NV 89502-6530
Phone
(775) 298-5379
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Marley Page
Title
Credentialing Manager
Phone
(417) 861-9739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5067 S McCarran Blvd
Reno, NV 89502-6530

Mailing address

300 California St FL 7
San Francisco, CA 94104-1415
Phone (844) 234-7741

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1548916042",
    "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",
            "telephone_number": "844-234-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5067 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026530",
            "telephone_number": "775-298-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON HEALTH ALPHA PRIMARY CARE OF FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "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": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "417-861-9739"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

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.