Individual provider Active NPI

Michael F Carlson, CPO

  • Prosthetist
  • Roseville, CA
National Provider Identifier
1902084239
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
106 N Sunrise Ave Ste C8
Roseville, CA 95661-2914
Phone
(916) 297-7853
Fax
(916) 297-7852
NPI assigned
Feb 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X Primary

Addresses

Primary practice location

106 N Sunrise Ave Ste C8
Roseville, CA 95661-2914

Mailing address

106 N Sunrise Ave Ste C8
Roseville, CA 95661-2914
Phone (916) 297-7853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Prosthetics and Orthotics, Inc. Prosthetist Current Accepting new patients

Locations

106 N Sunrise Ave
Ste C8
Roseville, CA 95661
Phone (916) 297-7853

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1902084239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N SUNRISE AVE STE C8",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612914",
            "telephone_number": "916-297-7853",
            "fax_number": "916-297-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N SUNRISE AVE STE C8",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612914",
            "telephone_number": "916-297-7853",
            "fax_number": "916-297-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.