NPIMap

Organization Active NPI

Carbon Health Medical Group of California PC

  • Multi-Specialty Clinic/Center
  • San Mateo, CA
National Provider Identifier
1750001657
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
Practice address
46 Hillsdale Mall
San Mateo, CA 94403-3407
Phone
(650) 769-5612
Fax
(888) 972-1912
NPI assigned
Aug 31, 2022
Organization subpart
Yes
Parent organization
DIRECT URGENT CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Marley Page
Title
Director
Phone
(417) 861-9739

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

46 Hillsdale Mall
San Mateo, CA 94403-3407

Mailing address

2100 Franklin St Ste 355
Oakland, CA 94612-3140

National Provider Directory

National Provider Directory
Tax ID family
Carbon Health Medical Group7 organizations share this tax ID, including this one
Part of
Carbon Health Medical Group

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

46 Hillsdale Mall
San Mateo, CA 94403
Phone (650) 769-5612

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1750001657",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 HILLSDALE MALL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033407",
            "telephone_number": "650-769-5612",
            "fax_number": "888-972-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIRECT URGENT CARE INC",
        "enumeration_date": "2022-08-31",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-861-9739"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.