Carl Mason Sutherland II, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

MD.03368R Issued in KS

Practice address

539 28TH Ave
San Mateo, CA 94403-2601

Phone

(650) 393-4053

NPI assigned

Dec 2, 2009

Last updated

Dec 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1679801609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 28TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032601",
            "telephone_number": "650-393-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 28TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032601",
            "telephone_number": "650-393-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "CARL",
        "middle_name": "MASON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "KS",
            "license": "MD.03368R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleena Sunil
• Keertana Sureshbabu
• Susan J Spencer, MD, Inc
• Susan Wolf, M.D.
• Christian Sustrina, PTA
• Vanna Sutherland, M.D.
• Sutter Bay Hospitals (Mills Health Center D/P APH)
• Sutter Bay Medical Foundation (Sutter Pacific Medical Foundation)
• Sutter Visiting Nurse Association and Hospice (Sutter Care at Home)
• Sutter Visiting Nurse Association and Hospice (Sutter Care at Home)

• Surgical Oncology Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Surgical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.