Eric R. Carlblom, MD.,PC

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

G65524 Issued in CA

Legal business name

ERIC R. CARLBLOM, MD.,PC

Practice address

2425 Porter St
Suite 6
Soquel, CA 95073-2444

Phone

(831) 462-1500

Fax

(831) 462-1503

NPI assigned

Sep 20, 2007

Last updated

Feb 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric Rolf Carlblom, MDNPI 1063434207

Title

President

Phone

(831) 462-1500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric R Carlblom, M.D.

  • Specialist
  • Soquel, CA
  • NPI 1063434207
  NPD (past) Authorized official

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1962698167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950730339",
            "telephone_number": "831-462-1500",
            "fax_number": "831-462-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PORTER ST",
            "address_2": "SUITE 6",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732444",
            "telephone_number": "831-462-1500",
            "fax_number": "831-462-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC R. CARLBLOM, MD.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "CARLBLOM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ROLF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-462-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G65524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G655240",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962698167",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emily Louise Erickson
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• Marilyn Fahrner, MFT
• Elizabeth Anne Falade, MD, MPH
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• Orthopaedic Hand Surgery Physician in Soquel, CA
• Providers in Soquel, CA by specialty
• Orthopaedic Hand Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.