Organization Active NPI

Carbon Health Alpha Medical Group of California PC

  • Urgent Care Clinic/Center
  • Eastvale, CA
National Provider Identifier
1932840345
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CARBON HEALTH ALPHA MEDICAL GROUP OF CALIFORNIA PC
Practice address
14117 Limonite Ave Ste 300
Eastvale, CA 92880-3864
Phone
(951) 210-7237
NPI assigned
Apr 7, 2022
Last updated
Jul 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

14117 Limonite Ave Ste 300
Eastvale, CA 92880-3864

Mailing address

300 California St FL 7
San Francisco, CA 94104-1415

Other practice location 1

7831 Monticello Ave Ste 1102
Rancho Cucamonga, CA 91739-8879
Phone (909) 285-2098

Other practice location 2

4550 Van Nuys Blvd Ste A4
Sherman Oaks, CA 91403-2844
Phone (818) 514-3631

National Provider Directory

National Provider Directory

Locations

4550 Van Nuys Blvd
Ste A4
Sherman Oaks, CA 91403
Phone (818) 230-2938

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1932840345",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14117 LIMONITE AVE STE 300",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803864",
            "telephone_number": "951-210-7237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7831 Monticello Ave Ste 1102",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917398879",
            "country_code": "US",
            "telephone_number": "909-285-2098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4550 Van Nuys Blvd Ste A4",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914032844",
            "country_code": "US",
            "telephone_number": "818-514-3631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARBON HEALTH ALPHA MEDICAL GROUP OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "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": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.