Organization Active NPI

Carbon Health Medical Group of California PC

  • Multi-Specialty Clinic/Center
  • Oakland, CA
National Provider Identifier
1972045144
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
411 Grand Ave
Oakland, CA 94610-5022
Phone
(510) 844-4097
NPI assigned
Nov 4, 2016
Organization subpart
No

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Urgent Care Clinic/Center 261QU0200X CA

Addresses

Primary practice location

411 Grand Ave
Oakland, CA 94610-5022

Mailing address

2920 Telegraph Ave
Berkeley, CA 94705-2031
Phone (510) 686-3621

Other practice location 1

132 Vintage Way Ste F5
Novato, CA 94945-5026
Phone (628) 203-9029

Other practice location 2

303 Corte Madera Town Ctr # 303
Corte Madera, CA 94925-1207
Phone (415) 840-8615

Other practice location 3

411 3rd St
San Rafael, CA 94901-3548
Phone (415) 854-7159

Other practice location 4

3431 Broadway St Ste A8
American Canyon, CA 94503-1228
Phone (707) 219-6472

National Provider Directory

National Provider Directory

Locations

303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1972045144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 TELEGRAPH AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052031",
            "telephone_number": "510-686-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946105022",
            "telephone_number": "510-844-4097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Vintage Way Ste F5",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455026",
            "country_code": "US",
            "telephone_number": "628-203-9029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Corte Madera Town Ctr # 303",
            "address_purpose": "LOCATION",
            "city": "Corte Madera",
            "state": "CA",
            "postal_code": "949251207",
            "country_code": "US",
            "telephone_number": "415-840-8615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 3rd St",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949013548",
            "country_code": "US",
            "telephone_number": "415-854-7159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3431 Broadway St Ste A8",
            "address_purpose": "LOCATION",
            "city": "American Canyon",
            "state": "CA",
            "postal_code": "945031228",
            "country_code": "US",
            "telephone_number": "707-219-6472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "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": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, 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.