Organization Active NPI

Carbon Health Primary Care of California PC

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
National Provider Identifier
1972057990
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CARBON HEALTH PRIMARY CARE OF CALIFORNIA PC
Practice address
2920 Telegraph Ave Ste 100
Berkeley, CA 94705-2031
Phone
(510) 686-3621
NPI assigned
Aug 8, 2016
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2920 Telegraph Ave Ste 100
Berkeley, CA 94705-2031

Mailing address

2100 Franklin St Ste 355
Oakland, CA 94612-3140
Phone (415) 200-2099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170127001216 CA Part B Supplier - Clinic/Group Practice 8628350626 Receives reassigned benefits from 44 practitioners
Practice locations: Santa Clara, CA; San Mateo, CA; San Jose, CA; San Francisco, CA; Sacramento, CA; Albany, CA; Roseville, CA; Alameda, CA…

National Provider Directory

National Provider Directory

Locations (25 of 31)

3431 Broadway St
Ste A
American Cyn, CA 94503
Phone (707) 219-6472

5829 Lone Tree Way
Antioch, CA 94531
Phone (925) 204-3715

705 E Birch St
Brea, CA 92821

705 E Birch St
Ste P
Brea, CA 92821
Phone (714) 698-4049

1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732

1760 S Bascom Ave
Ste 40
Campbell, CA 95008

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722

8900 Venice Blvd
Ste 109
Culver City, CA 90232
Phone (310) 295-9029

2110 W Sunset Blvd
Los Angeles, CA 90026
Phone (213) 510-8640

7038 W Sunset Blvd
Los Angeles, CA 90028

132 Vintage Way
Novato, CA 94945

600 E Colorado Blvd
Ste 20
Pasadena, CA 91101

7831 Monticello Ave
Rancho Cucamonga, CA 91739

1080 University Ave
Ste H109
San Diego, CA 92103
Phone (858) 617-8509

345 Spear St
Ste 120
San Francisco, CA 94105
Phone (415) 612-3275

411 Grant Ave
San Francisco, CA 94108

55 Pacific Ave
Ste 100
San Francisco, CA 94111

55 Pacific Ave
Ste 160
San Francisco, CA 94111
Phone (415) 869-8858

1411 Berryessa Rd
San Jose, CA 95133

1411 Berryessa Rd
Ste 30
San Jose, CA 95133
Phone (408) 647-7020

1353 Washington Ave
Ste D2
San Leandro, CA 94577
Phone (510) 608-4836

109 S Las Posas Rd
#101
San Marcos, CA 92078
Phone (760) 258-4826

411 3rd St
#409
San Rafael, CA 94901
Phone (415) 854-7159

1421 W MacArthur Blvd
Santa Ana, CA 92704
Phone (714) 668-9596

3032 Wilshire Blvd
Ste 1
Santa Monica, CA 90403
Phone (310) 971-9957

Practitioners & affiliated clinicians

Practitioners 520

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.

View all 520

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1972057990",
    "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",
            "telephone_number": "415-200-2099",
            "fax_number": "844-649-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 TELEGRAPH AVE STE 100",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052031",
            "telephone_number": "510-686-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON HEALTH PRIMARY CARE OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.