Organization Active NPI

Carbon Health Medical Group of Sunnyvale Inc

Doing business as Elite Medical Center Inc.

  • Urgent Care Clinic/Center
  • Sunnyvale, CA
National Provider Identifier
1740598960
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC
Doing business as
Elite Medical Center Inc.
Practice address
500 E Remington Dr
Suite 20
Sunnyvale, CA 94087-2657
Phone
(650) 318-3384
Fax
(650) 230-4998
NPI assigned
Sep 22, 2010
Organization subpart
Yes
Parent organization
CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 20A11338 CA
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

500 E Remington Dr
Suite 20
Sunnyvale, CA 94087-2657

Mailing address

2100 Franklin St Ste 355
Oakland, CA 94612-3140
Phone (415) 446-1733

Other names 1

  • Elite Medical Center Inc. Doing business as

National Provider Directory

National Provider Directory
Part of
Carbon Health Medical Group

Locations

2490 Hospital Dr
Ste 309
Mountain View, CA 94040
Phone (650) 318-3384

500 E Remington Dr
Ste 20
Sunnyvale, CA 94087
Phone (408) 245-4048

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1740598960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 FRANKLIN ST STE 355",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123140",
            "telephone_number": "415-446-1733",
            "fax_number": "888-972-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E REMINGTON DR",
            "address_2": "SUITE 20",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872657",
            "telephone_number": "650-318-3384",
            "fax_number": "650-230-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC",
        "enumeration_date": "2010-09-22",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "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": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "20A11338",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Medical Center Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Medical Center Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.